Prosperity Health Care LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

PROSPERITY HEALTH CARE LLC

Practice address

2615 NE 3Rd St
Boynton Beach, FL 33435-2110

Phone

(561) 888-9466

NPI assigned

Jan 1, 2021

Organization subpart

No

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

Authorized official

Name

Cimilien Stephenson

Title

Owner

Phone

(561) 888-9466

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1609459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609632000000",
    "number": "1568050920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 NE 3RD ST",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334352110",
            "telephone_number": "561-888-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 NE 3RD ST",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334352110",
            "telephone_number": "561-888-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-01",
        "last_updated": "2021-01-03",
        "certification_date": "2021-01-03",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "CIMILIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-888-9466"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIMITED LIABILITY COMPANY",
            "identifier": "L20000385918",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Developmental Disabilities Clinic/Center in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; 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.