The Pearl Girls Supportive Living LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

THE PEARL GIRLS SUPPORTIVE LIVING LLC

Practice address

3455 Pateville Rd
Cordele, GA 31015-8747

Phone

(229) 894-3505

Fax

(229) 329-4489

NPI assigned

Jan 29, 2025

Last updated

Jan 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ava Lynn Murray Chavarria, RN

Title

Owner/Administrator

Phone

(229) 894-3505

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1255144762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 PATEVILLE RD",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310158747",
            "telephone_number": "229-894-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 PATEVILLE RD",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310158747",
            "telephone_number": "229-894-3505",
            "fax_number": "229-329-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEARL GIRLS SUPPORTIVE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "CHAVARRIA",
        "authorized_official_first_name": "AVA LYNN",
        "authorized_official_middle_name": "MURRAY",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "229-894-3505",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Cordele, GA
• Providers in Cordele, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.