Organization Active NPI

Pearl of Dawn Home Care LLC

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1063366730
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PEARL OF DAWN HOME CARE LLC
Practice address
50 E Willow Grove Ave Ste 1
Philadelphia, PA 19118-3464
Phone
(267) 577-9806
NPI assigned
Feb 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Authorized official

Name
Ms. Shante Octavia Jackson, LPNNPI 1982594313
Title
Owner
Phone
(267) 577-9806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

50 E Willow Grove Ave Ste 1
Philadelphia, PA 19118-3464

Mailing address

50 E Willow Grove Ave Ste 1
Philadelphia, PA 19118-3464
Phone (267) 577-9806

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1771545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1063366730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E WILLOW GROVE AVE STE 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183464",
            "telephone_number": "267-577-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E WILLOW GROVE AVE STE 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183464",
            "telephone_number": "267-577-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL OF DAWN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-20",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SHANTE",
        "authorized_official_middle_name": "OCTAVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-577-9806",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.