MS. MATHILDA PREVOST NPI 1093641896

NPI Information

  • NPI: 1093641896
  • Provider Name: MS. MATHILDA PREVOST
  • Classification: Assisted Living Facility - 3104A0630X
  • Specialization: Assisted Living, Behavioral Disturbances
  • Entity Type: Individual
  • Address: 1741 HIGHWAY 138 SW
    RIVERDALE, GA
    ZIP 30296
  • Phone: (770) 996-5552

Map and Directions

Get Directions

NPI Details

MS. Mathilda Prevost is an assisted living and behavioral disturbances assisted living facility in Riverdale, GA. The provider is 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. MS. Mathilda Prevost NPI is 1093641896. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1741 HIGHWAY 138 SW
RIVERDALE, GA
ZIP 30296-921
Phone: (770) 996-5552

The enumeration date for this NPI number is 6/19/2026 and was last updated on 6/19/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13104A0630XAssisted Living FacilityAssisted Living, Behavioral Disturbances031012331GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI