PASSPORT 2 PROSPERITY INCORPORATED (NPI# 1912207317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912207317 |
| Entity Type | Organization |
| Organization Name | PASSPORT 2 PROSPERITY INCORPORATED |
| Practice Address |
265 Redding Rdg College Park GA 30349-8027 |
| Practice Telephone | 4045834940 |
| Practice Fax Number | 7703066068 |
| Mailing Telephone | 4045834940 |
| Mailing Fax Number | 7703066068 |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2010-11-01 |
| Authorized Official Name | MRS. MELINDA RICHARDS (CEO/ EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4045834940 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PASSPORT 2 PROSPERITY INCORPORATED | 265 Redding Rdg, Atlanta, GA 30349-8027 |
| Street Address |
265 REDDING RDG |
| City | COLLEGE PARK |
| State | GA |
| Zip Code | 30349-8027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
| 1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
| 1669971875 | Ee Consulting Solution | Case Management | 6320 Topaz Tral, Arlanta, GA 30349 | 2018-02-03 |
| 1629595640 | Shayla Bouie | Contractor | 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 | 2017-08-30 |
| 1114475563 | Jasmine V Mccully | Social Worker | 5864 Summergien Lane, College Park, GA 30349 | 2016-09-14 |
| 1639537681 | Shelia Thornton | Counselor | 5856 Seabright Lane, Atlanta, GA 30349 | 2016-02-05 |
| 1346610177 | Joanne Resilard | Nurse Practitioner | 2931 Herron Ln Sw, Atlanta, GA 30349 | 2015-10-06 |
| 1063805091 | Southwest Atlanta Medical & Rehabilitation Clinic LLC | Family Medicine | 495 85 Circle, Suite 100, Atlanta, GA 30349 | 2015-03-16 |
| Find all providers in zip 30349 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099354 | Breaking Barriers Mental Health Services, LLC | Community/Behavioral Health | 9600 Milestone Way Apt 2016, College Park, MD 20740-4262 | 2020-06-29 |
| 1558883009 | A&e Healthcare Services Inc | Community/Behavioral Health | 4920 Niagara Rd Ste 408, College Park, MD 20740-1160 | 2017-07-15 |
| 1245634419 | Joyus Beginnings Cfwc | Community/Behavioral Health | 1626 Virginia Ave, Suite F, College Park, GA 30337-2857 | 2014-10-17 |
| 1275972515 | Helping Hands Integrated Behavioral Health Services, LLC | Community/Behavioral Health | 525 Mica Trce, College Park, GA 30349-8479 | 2013-06-20 |
| 1508139395 | Carefree Building Maintenance | Community/Behavioral Health | 4055 Will Lee Rd, College Park, GA 30349-1904 | 2012-02-09 |
| 1669772323 | Divine Behavioral Services Inc. | Community/Behavioral Health | 6270 Red Oak Rd, College Park, GA 30349-4023 | 2010-10-28 |
| 1215244579 | True Love, LLC | Community/Behavioral Health | 225 Armas Pl, College Park, GA 30349-4823 | 2010-09-08 |
| 1750697694 | D.r.e.a.m Therapuetic Solutions, LLC | Community/Behavioral Health | 2555 Flat Shoals Rd Apt 2204, College Park, GA 30349-4374 | 2010-08-30 |
| 1275863219 | Panacea Counseling Services LLC | Community/Behavioral Health | 5436 Glen Haven Dr, College Park, GA 30349-6481 | 2010-01-13 |
| 1932337730 | Premiere Community Development Center | Community/Behavioral Health | 5615 Old National Hwy, Suite D, College Park, GA 30349 | 2009-06-30 |
| Find all providers in COLLEGE PARK | ||||
| City | COLLEGE PARK |
| Zip Code | 30349 |
Please comment or provide details below to improve the information on PASSPORT 2 PROSPERITY INCORPORATED.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.