Organization Active NPI

Prosperity Senior Living, LLC

  • Assisted Living Facility
  • Upland, CA
National Provider Identifier
1821721994
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PROSPERITY SENIOR LIVING, LLC
Practice address
1455 Anita St
Upland, CA 91786-2815
Phone
(337) 244-2252
NPI assigned
Jul 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Authorized official

Name
Jamal ShalabiNPI 1477212793
Title
Owner
Phone
(337) 244-2252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1455 Anita St
Upland, CA 91786-2815

Mailing address

1455 Anita St
Upland, CA 91786-2815
Phone (337) 244-2252

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL prosperityseniorliving@gmail.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1821721994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 ANITA ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917862815",
            "telephone_number": "337-244-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 ANITA ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917862815",
            "telephone_number": "337-244-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "SHALABI",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-244-2252"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "prosperityseniorliving@gmail.com",
            "affiliation": "N",
            "address_1": "1455 Anita St",
            "city": "Upland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917862815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.