NPIMap

Organization Active NPI

Pearls Angel Care Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Fayetteville, NC
National Provider Identifier
1487841326
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL026709 Issued in NC
Legal business name
PEARLS ANGEL CARE INC
Practice address
231 Westlake Rd
Fayetteville, NC 28314-4861
Phone
(910) 487-2500
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Ms. Betty Washington
Title
Director
Phone
(910) 257-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL026709 NC Primary

Addresses

Primary practice location

231 Westlake Rd
Fayetteville, NC 28314-4861

Mailing address

1545 Stackhouse Dr
Fayetteville, NC 28314-6356
Phone (910) 672-1642

Other identifiers 1

IdentifierTypeStateIssuer
8301357BMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Pearls Angel Care Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1487841326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 STACKHOUSE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283146356",
            "telephone_number": "910-672-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 WESTLAKE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283144861",
            "telephone_number": "910-487-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLS ANGEL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-257-6060",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL026709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301357B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.