Success Staffing Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUCCESS STAFFING AGENCY LLC

Doing business as

Prestige Healthcare

Practice address

609 A Old Derby Road
Norwood, MA 02062-1771

Phone

(617) 749-6194

NPI assigned

Apr 18, 2023

Organization subpart

No

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

Authorized official

Name

Sandra Wilson, CEO

Title

Chief Executive Officer

Phone

(617) 749-6194

Specialties & licenses 3

Addresses

Other names 1

• Prestige Healthcare Doing business as

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1477240745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 A OLD DERBY ROAD",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020621771",
            "telephone_number": "617-749-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 A OLD DERBY ROAD",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020621771",
            "telephone_number": "617-749-6194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Ivy circle",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "MA",
            "postal_code": "020621771",
            "country_code": "US",
            "telephone_number": "617-749-6194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUCCESS STAFFING AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-749-6194",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Norwood, MA
• Providers in Norwood, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.