Organization Active NPI

Pearls of Wisdom Healthcare LLC

  • In Home Supportive Care Agency
  • Atlanta, GA
National Provider Identifier
1558979930
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PEARLS OF WISDOM HEALTHCARE LLC
Practice address
600 Greensferry Ave SW Apt 903
Atlanta, GA 30314-4347
Phone
(770) 572-5873
Fax
(404) 999-2583
NPI assigned
Jul 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
Mrs. Jeanette Smith
Title
Ceo
Phone
(770) 572-5873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

600 Greensferry Ave SW Apt 903
Atlanta, GA 30314-4347

Mailing address

PO Box 1126
Fairburn, GA 30213-8002
Phone (770) 572-5873

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1558979930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1126",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302138002",
            "telephone_number": "770-572-5873",
            "fax_number": "404-999-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GREENSFERRY AVE SW APT 903",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303144347",
            "telephone_number": "770-572-5873",
            "fax_number": "404-999-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLS OF WISDOM HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-572-5873",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.