The Pearl at Sanesota Care Home LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

THE PEARL AT SANESOTA CARE HOME LLC

Practice address

4079 Sanesota Way SE
Salem, OR 97317-8700

Phone

(503) 362-5958

Fax

(503) 362-5509

NPI assigned

Jun 22, 2026

Organization subpart

No

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

Authorized official

Name

Geoffrey Gathethe

Title

Managing Member

Phone

(253) 508-1631

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1700712379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4079 SANESOTA WAY SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973178700",
            "telephone_number": "503-362-5958",
            "fax_number": "503-362-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4079 SANESOTA WAY SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973178700",
            "telephone_number": "503-362-5958",
            "fax_number": "503-362-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEARL AT SANESOTA CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "GATHETHE",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "253-508-1631"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Salem, OR
• Providers in Salem, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.