NPIMap

Organization Active NPI

Pearl Premier Homes LLC

  • Nurse's Aide
  • Surprise, AZ
National Provider Identifier
1104560093
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Legal business name
PEARL PREMIER HOMES LLC
Practice address
17558 W Bridger St
Surprise, AZ 85388-3137
Phone
(602) 228-3397
NPI assigned
Apr 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Authorized official

Name
Tina MontgomeryNPI 1700456530
Title
Owner
Phone
(602) 228-3397

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
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X Primary

Addresses

Primary practice location

17558 W Bridger St
Surprise, AZ 85388-3137

Mailing address

PO Box 992
Glendale, AZ 85311-0992
Phone (602) 228-3397

Other names 1

  • Pearl Premier Homes LLC Doing business as

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": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1104560093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 992",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853110992",
            "telephone_number": "602-228-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17558 W BRIDGER ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853883137",
            "telephone_number": "602-228-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL PREMIER HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-228-3397"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl Premier Homes LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.