Organization Active NPI

Pearl Health Care Services, Inc.

  • Home Health Agency
  • Bloomingdale, IL
National Provider Identifier
1306961123
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1009612 Issued in IL
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

Updated by the provider on Apr 18, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1009612OtherILHOME HEALTH LICENSE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.