Pearl LL Leasing Co, LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

25454 Issued in OH

Legal business name

PEARL LL LEASING CO, LLC

Practice address

5608 Pearl Rd
Parma, OH 44129-2547

Phone

(440) 888-1320

Fax

(440) 888-1304

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Deborah Kay Smith

Title

Director

Phone

(440) 888-1320

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pine Grove Habilitation Center Doing business as

Tax ID family

Pearl III Leasing Co LLC2 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 III Leasing Co, LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Parma, OH
  • NPI 1417079021
  NPD tax ID

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1811084338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 PEARL RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441292547",
            "telephone_number": "440-888-1320",
            "fax_number": "440-888-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 PEARL RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441292547",
            "telephone_number": "440-888-1320",
            "fax_number": "440-888-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL LL LEASING CO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "440-888-1320",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "25454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2607129",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Grove Habilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jackie B Paval
• Donald B Payne, RPH
• Christy M Peabody
• Julie Peacock, OTR/L
• Pearl III Leasing Co, LLC
• Florin Penciu, MD
• Penn 3 Logistics LLC
• Earl Penn III
• Christina Marie Pennington, LISW
• Matthew J Perkins, MS, PT

• Intellectual Disabilities Intermediate Care Facility in Parma, OH
• Providers in Parma, OH by specialty
• Intellectual Disabilities Intermediate Care Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.