Pearl Group Homes

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PEARL GROUP HOMES

Practice address

1740 E 17TH St
Suite a
Idaho Falls, ID 83404-6375

Phone

(208) 346-7500

Fax

(208) 346-7501

NPI assigned

Nov 16, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Lisa C Bowman, M.S. PSYCHOLOGY

Title

Program Director

Phone

(208) 346-7500

Specialties & licenses 1

Addresses

Tax ID family

Pearl Group Homes2 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 Group Homes

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Idaho Falls, ID
  • NPI 1811292915
  NPD tax ID

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1760783153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 E 17TH ST",
            "address_2": "SUITE A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046375",
            "telephone_number": "208-346-7500",
            "fax_number": "208-346-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 E 17TH ST",
            "address_2": "SUITE A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046375",
            "telephone_number": "208-346-7500",
            "fax_number": "208-346-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL GROUP HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "208-346-7500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S. PSYCHOLOGY"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isobel Pawson, LMSW
• Jonathan Payne, M.S., CCC-SLP
• Matthew Scott Payne, D.O
• Samuel Dustin Payne
• Peak Medical of Idaho, Inc.
• Pearl Group Homes
• Pearl Healthcare Centers, Inc
• Bradley Dale Pearson, MPT
• Colby Pearson, DO
• William Edwin Pearson, DDS

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.