Organization Active NPI

Blaq Pearl LLC

  • Attendant Care Provider
  • Tampa, FL
National Provider Identifier
1801608005
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Legal business name
BLAQ PEARL LLC
Practice address
14926 Fisher Rd
Tampa, FL 33613-1609
Phone
(813) 448-2235
NPI assigned
Jan 23, 2025
Last updated
Jan 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Pearl T Williams-Sylvain
Title
Manager
Phone
(813) 210-5535

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X NU Primary
Personal Care Attendant 3747P1801X NU

Addresses

Primary practice location

14926 Fisher Rd
Tampa, FL 33613-1609

Mailing address

30203 Goodwick Way
Wesley Chapel, FL 33543-3961
Phone (813) 210-5535

Other names 1

  • Pearl's Place Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1801608005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30203 GOODWICK WAY",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335433961",
            "telephone_number": "813-210-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14926 FISHER RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131609",
            "telephone_number": "813-448-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAQ PEARL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS-SYLVAIN",
        "authorized_official_first_name": "PEARL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-210-5535"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl's Place",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.