Organization Name: | PROSPERITY HALL |
NPI Number: | 1003100744 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPHINE EDWARDS (OWNER/CEO) |
Mailing Address: | 516 Ferry Rd Galveston |
State: | TX US |
Postal Code: | 775503146 |
Phone Number: | 4096827574 |
Fax Number: | |
NPI Enumeration Date: | 05/29/2011 |
NPI Last Update Date: | 05/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3140N1450X |
License Number: | 787673 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Skilled Nursing Facility |
Taxonomy Specialization: | Nursing Care, Pediatric |
Taxonomy Definition: | A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |