Active NPI
Hiddend Pearls LLC
- Home Health Agency
- Alliance, OH
National Provider Identifier
1790094019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HIDDEND PEARLS LLC
- Practice address
- 1012 S. Liberty Ave.
Alliance, OH 44601-4062 - Phone
- (330) 418-1025
- NPI assigned
- Oct 4, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Latoya S. Gooden, LPN
- Title
- Owner
- Phone
- (330) 418-1025
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | OH | ||
| Case Management Agency | 251B00000X | OH | ||
| Home Health Agency | 251E00000X | OH | Primary | |
| Early Intervention Provider Agency | 252Y00000X | OH | ||
| In Home Supportive Care Agency | 253Z00000X | OH | ||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Bus | 347B00000X | OH | ||
| Private Vehicle | 347C00000X | OH |
Addresses
Primary practice location
1012 S. Liberty Ave.
Alliance, OH 44601-4062
Mailing address
1012 S. Liberty Ave.
Alliance, OH 44601-4062
Phone (330) 821-3702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3013689 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
405 S Linden Ave
Ste 201
Alliance, OH 44601
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Licensed Practical Nurse
- Canton, OH
- NPI 1932729837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690329600000",
"number": "1790094019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 S. LIBERTY AVE.",
"city": "ALLIANCE",
"state": "OH",
"postal_code": "446014062",
"telephone_number": "330-821-3702",
"fax_number": "330-821-3708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 S. LIBERTY AVE.",
"city": "ALLIANCE",
"state": "OH",
"postal_code": "446014062",
"telephone_number": "330-418-1025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIDDEND PEARLS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-04",
"last_updated": "2023-07-26",
"certification_date": "2023-07-26",
"status": "A",
"authorized_official_last_name": "GOODEN",
"authorized_official_first_name": "LATOYA",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-418-1025",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "103TM1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": null,
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "347B00000X",
"taxonomy_group": "",
"desc": "Bus",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "OH",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3013689",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alliance, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.