Organization Active NPI

Prosperous Beginnings, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Petersburg, VA
National Provider Identifier
1356057913
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
PROSPEROUS BEGINNINGS, LLC
Practice address
1911 Powhatan Ave
Petersburg, VA 23805-1925
Phone
(804) 805-2127
NPI assigned
Jan 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shanee Fleming
Title
Co-Owner
Phone
(804) 805-2127

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1911 Powhatan Ave
Petersburg, VA 23805-1925

Mailing address

1911 Powhatan Ave
Petersburg, VA 23805-1925
Phone (804) 805-2127

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1356057913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 POWHATAN AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238051925",
            "telephone_number": "804-805-2127",
            "fax_number": "804-805-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 POWHATAN AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238051925",
            "telephone_number": "804-805-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPEROUS BEGINNINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "SHANEE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "804-805-2127"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.