Pearl Recovery Center Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PEARL RECOVERY CENTER INC

Practice address

1930 Park Meadows Dr Ste 1
Fort Myers, FL 33907-3748

Phone

(732) 910-5151

NPI assigned

Aug 8, 2018

Organization subpart

No

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

Authorized official

Name

Julie Crocco

Title

Billing Administrator

Phone

(954) 696-1121

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1144709304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 PARK MEADOWS DR STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073748",
            "telephone_number": "732-910-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 PARK MEADOWS DR STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073748",
            "telephone_number": "732-910-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL RECOVERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "CROCCO",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "954-696-1121"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Caleb Payne, RMHCI
• Robert Mark Payne, NP
• Peace by Piece Solutions Inc.
• Peace Therapy
• Michelle Marie Pearce, MD
• Shannon Pearl, BSN, RN
• Tamla Pearsey
• Donald Ray Pearson
• Judyann Pearson
• Marquis Pease, PA

• Substance Abuse Rehabilitation Facility in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.