PROSPEROUS HEALTH IMPERIAL BEACH, LLC
NPI 1124826011
Substance Abuse Rehabilitation Facility in Imperial Beach, CA
NPI Status: Active since March 05, 2025
Contact Information
107 DAISY AVE
IMPERIAL BEACH, CA
ZIP 91932
Phone: (833) 364-4722
- Organization
- Substance Abuse Rehabilitation Facility
About PROSPEROUS HEALTH IMPERIAL BEACH, LLC
This page provides the complete NPI Profile along with additional information for Prosperous Health Imperial Beach, Llc, a provider established in Imperial Beach, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1124826011 assigned on March 2025. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mr. Jerry Shirey (President)
- NPI
- 1124826011
- Provider Name
- PROSPEROUS HEALTH IMPERIAL BEACH, LLC
- Entity Type
- Organization
- Location Address
- 107 DAISY AVE IMPERIAL BEACH, CA 91932
- Location Phone
- (833) 364-4722
- Mailing Address
- 9909 HUENNEKENS ST STE 110 SAN DIEGO, CA 92121
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-05-2025
- Last Update Date
- 06-23-2025
- Code Navigator
Location Map
Secondary Locations
- 109 Daisy Ave
Imperial Beach, CA 91932
(833) 364-4722
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124826011, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124826011, enumerated as an "organization" on March 05, 2025.
The provider is located at 107 DAISY AVE IMPERIAL BEACH, CA 91932 and the phone number is (833) 364-4722.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
