Prosperous Health Imperial Beach, LLC
NPI 1124826011 · Substance Abuse Rehabilitation Facility · Imperial Beach, CA
Prosperous Health Imperial Beach, LLC is a Substance Abuse Rehabilitation Facility organization in Imperial Beach, CA (NPI 1124826011).
Provider details
- NPI number
- 1124826011
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jerry Shirey, President(619) 669-3295
Specialties & taxonomies
Residential Treatment Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 109 Daisy AveImperial Beach, CA 91932Phone: (833) 364-4722
Registry dates
- Enumerated
- 2025-03-05
- Last updated
- 2025-06-23
- Certified
- 2025-06-02
Frequently asked questions
- What is Prosperous Health Imperial Beach, LLC's NPI number?
- Prosperous Health Imperial Beach, LLC's National Provider Identifier (NPI) is 1124826011, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prosperous Health Imperial Beach, LLC?
- Prosperous Health Imperial Beach, LLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Prosperous Health Imperial Beach, LLC located?
- Prosperous Health Imperial Beach, LLC's practice location on file with NPPES is 107 Daisy Ave, Imperial Beach, CA 91932.
- What is Prosperous Health Imperial Beach, LLC's phone number?
- The practice phone number listed in the NPPES registry for Prosperous Health Imperial Beach, LLC is (833) 364-4722.
- Who is the authorized official for Prosperous Health Imperial Beach, LLC?
- The authorized official listed on Prosperous Health Imperial Beach, LLC's NPPES record is Jerry Shirey, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prosperous Health Imperial Beach, LLC's NPI active?
- Yes — Prosperous Health Imperial Beach, LLC's NPI (1124826011) is active in the NPPES registry as of the last update on 2025-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.