Montevera Pearl Residence LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

MONTEVERA PEARL RESIDENCE LLC

Practice address

815 S Pearl St
Tacoma, WA 98465-2117

Phone

(253) 881-7680

NPI assigned

Dec 29, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jean Montenegro De Vera, RNNPI 1043750987

Title

Administrator

Phone

(253) 881-7680

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jean Montenegro De Vera, RN

  • Administrator Registered Nurse
  • Tacoma, WA
  • NPI 1043750987
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1003772534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8007 51ST AVE SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994051",
            "telephone_number": "253-881-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S PEARL ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984652117",
            "telephone_number": "253-881-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEVERA PEARL RESIDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-29",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "DE VERA",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "MONTENEGRO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "253-881-7680",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay-Jay Montemayor
• Nancy Monter Cruz
• Eulalia J. Montero, RN
• Brita Margaret Montes-Sanders, FNP-C
• Oscar Esteban Montes, MD
• Nickolas Robert Montez, RD
• Belinda Lyndon Montgomery
• Cameron Ming Montgomery
• Cecily A Montgomery, ARNP
• Donnetta Eyvonne Montgomery, LMP

• Assisted Living Facility (Mental Illness) in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Assisted Living Facility (Mental Illness) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.