Pearl Homecare Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PEARL HOMECARE INC

Practice address

1163 Whipple Rd
Tewksbury, MA 01876-3734

Phone

(508) 789-8482

NPI assigned

Nov 21, 2022

Organization subpart

No

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

Authorized official

Name

Sandra WoodwardNPI 1609719012

Title

President/Ceo

Phone

(508) 789-8482

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Home health agency certification: CCN 227779

Legal name

PEARL HOMECARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 18, 2024

Last certification

Jun 7, 2024

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Oct 22, 2022 in MA

Enrollment address

1163 Whipple Rd
Tewksbury, MA 01876-3734

Listed as

Pearl Homecare IncCCN 227779 · All quality measures

Ownership

Proprietary

Certified

Jun 18, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Cynthia C Iwunze, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Quincy, MA
  • NPI 1821776774

  5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 2

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

• Sandra Marilu Woodward

  • Home Health Registered Nurse
  • Brockton, MA
  • NPI 1609719012
  NPD Authorized official
• Silvia Flores

  • Licensed Vocational Nurse
  • Tewksbury, MA
  • NPI 1699618009
  NPD (past)

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1023727831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 PERKINS AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 WHIPPLE RD",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018763734",
            "telephone_number": "508-789-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "508-789-8482"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nrupa Patel, PHARMD
• Samir Pravinchandra Patel, M.D.
• Patricia B. Criste PHD, LLC
• Evan Adams Patten
• Christine Patterson, LICSW
• Meredith Leigh Pellenz, RD
• Peregrine Senior Living of Tewksbury, LLC (Peregrine's Landing at Tewksbury)
• Virginia Marie Perron, RPH
• Jennifer Lynn Pestana, LICSW
• Mariella Petrowski, P.T.

• Home Health Agency in Tewksbury, MA
• Providers in Tewksbury, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.