Organization Active NPI

Pearl'S Life House Inc.

  • In Home Supportive Care Agency
  • Waukesha, WI
National Provider Identifier
1881468619
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PEARL'S LIFE HOUSE INC.
Practice address
1701 Elder St Apt 106
Waukesha, WI 53188-3239
Phone
(414) 322-3153
NPI assigned
Nov 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Patrice Letrianna Hood
Title
Executive Director
Phone
(414) 322-3153

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1701 Elder St Apt 106
Waukesha, WI 53188-3239

Mailing address

1701 Elder St Apt 106
Waukesha, WI 53188-3239
Phone (414) 322-3153

Other names 1

  • Pearl's Life House Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1881468619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 ELDER ST APT 106",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883239",
            "telephone_number": "414-322-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 ELDER ST APT 106",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883239",
            "telephone_number": "414-322-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL'S LIFE HOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "HOOD",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "LETRIANNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-322-3153"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl's Life House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.

Verify at the official NPI Registry.