Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MS. MATHILDA PREVOST
NPI 1093641896
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Riverdale, GA

Q: What is Mathilda Prevost's NPI number?

The NPI number for Mathilda Prevost is 1093641896. It was assigned to this individual provider in the NPPES registry on June 19, 2026.

Q: What is Mathilda Prevost's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

Q: When was this NPI record last updated?

The NPPES record for Mathilda Prevost was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 19, 2026

1741 HIGHWAY 138 SW, RIVERDALE, GA 30296(770) 996-5552 Get Directions Write a Review

NPPES record added: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Mathilda Prevost NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MATHILDA PREVOST (NPI 1093641896) is an individual assisted living, behavioral disturbances provider in Riverdale, Georgia, licensed in Georgia (031012331) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1093641896

Entity TypeIndividualFemale

Primary Taxonomy3104A0630X

Provider Legal NameMS. MATHILDA PREVOST

Location Address1741 HIGHWAY 138 SWRiverdale, GA 30296-1921

Mailing Address1741 Highway 138 SwRiverdale, GA 30296-1921 · (770) 996-5552

Phone(770) 996-5552

Sole ProprietorYes

Enumeration DateJune 19, 2026

NPPES CertifiedJune 19, 2026

✔ NPI 1093641896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities

Taxonomy Code3104A0630X

License✔ Licensed in GA · 031012331

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

1741 HIGHWAY 138 SW, Riverdale, GA 30296

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARING HANDS ASSISTED LIVING, LLC.

Respite Care

1741 HIGHWAY 138 SW
RIVERDALE, GA 30296

Clayton County (770) 996-5552

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mathilda Prevost's NPI number?

The NPI number for Mathilda Prevost is 1093641896. It was assigned to this individual provider in the NPPES registry on June 19, 2026.

Where is Mathilda Prevost located?

Mathilda Prevost practices at 1741 Highway 138 SW, Riverdale, GA 30296. The listed phone number is (770) 996-5552.

What is Mathilda Prevost's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

When was this NPI record last updated?

The NPPES record for Mathilda Prevost was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.