Pearl of Life, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PEARL OF LIFE, LLC

Practice address

350 South Pearl Street
Elizabeth, CO 80107

Phone

(303) 646-1156

Fax

(303) 646-8757

NPI assigned

Mar 14, 2022

Organization subpart

No

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

Authorized official

Name

Melissa Liemmertz, RNNPI 1790126050

Title

Administrator

Phone

(949) 463-6598

Specialties & licenses 1

Addresses

Other names 1

• Pearl Assisted Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Pearl Assisted Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pearl of Life, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Aurora, CO
  • NPI 1609692243
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa V.S. Liemmertz, RN

  • Registered Nurse
  • Los Angeles, CA
  • NPI 1790126050
  NPD Authorized official

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1649928284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2199 S KENTON CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SOUTH PEARL STREET",
            "city": "ELIZABETH",
            "state": "CO",
            "postal_code": "80107",
            "telephone_number": "303-646-1156",
            "fax_number": "303-646-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL OF LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-02-27",
        "status": "A",
        "authorized_official_last_name": "LIEMMERTZ",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "949-463-6598",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gianna Marie Peabody, DPT
• Peace of Mind 5280, Inc
• Peace of Mind Collaborative
• Amy Laura Peloquin, R.D.H.
• Perl Assisted Living
• Beth Pierce Baker
• Pine Ridge Terrace Manor LLC
• Pioneer Home Medical Supply LLC

• Assisted Living Facility in Elizabeth, CO
• Providers in Elizabeth, CO by specialty
• Assisted Living Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.