Active NPI
Pearl Health Care Services, Inc.
- Home Health Agency
- Bloomingdale, IL
National Provider Identifier
1306961123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1009612
- Legal business name
- PEARL HEALTH CARE SERVICES, INC.
- Practice address
- 136 W Lake St
Bloomingdale, IL 60108-1020 - Phone
- (630) 307-9617
- Fax
- (630) 307-9457
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Lowe
- Title
- Vice President
- Phone
- (773) 596-2300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1009612 | IL | Primary |
Addresses
Primary practice location
136 W Lake St
Bloomingdale, IL 60108-1020
Mailing address
136 W Lake St
Bloomingdale, IL 60108-1020
Phone (630) 307-9617
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1009612 | Other | IL | HOME HEALTH LICENSE |
National Provider Directory
National Provider DirectoryLocations
136 W Lake St
Bloomingdale, IL 60108
Phone (630) 307-9617
455 Kehoe Blvd
Ste 106
Carol Stream, IL 60188
Phone (630) 949-8301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555545600000",
"number": "1306961123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 W LAKE ST",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601081020",
"telephone_number": "630-307-9617",
"fax_number": "630-307-9457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 W LAKE ST",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601081020",
"telephone_number": "630-307-9617",
"fax_number": "630-307-9457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEARL HEALTH CARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2019-04-18",
"status": "A",
"authorized_official_last_name": "LOWE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "773-596-2300"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1009612",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME HEALTH LICENSE",
"identifier": "1009612",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.