NPIMap

Organization Active NPI

Pearls Angel Care Inc

  • Respite Care
  • Fayetteville, NC
National Provider Identifier
1942435011
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
6603332 Issued in NC
Legal business name
PEARLS ANGEL CARE INC
Practice address
231 Westlake Road
Suite 202
Fayetteville, NC 28314-4861
Phone
(910) 257-6060
Fax
(910) 487-2501
NPI assigned
May 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Betty Washington, MBA
Title
President
Phone
(910) 257-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 6603332 NC Primary

Addresses

Primary practice location

231 Westlake Road
Suite 202
Fayetteville, NC 28314-4861

Mailing address

1545 Stackhouse Dr
Fayetteville, NC 28314-6356
Phone (910) 257-6060

Other identifiers 1

IdentifierTypeStateIssuer
6603332MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Pearls Angel Care Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

231 Westlake Rd
Ste 202
Fayetteville, NC 28314
Phone (910) 257-6060

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1942435011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 STACKHOUSE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283146356",
            "telephone_number": "910-257-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 WESTLAKE ROAD",
            "address_2": "SUITE 202",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283144861",
            "telephone_number": "910-257-6060",
            "fax_number": "910-487-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLS ANGEL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-257-6060",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NC",
            "license": "6603332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603332",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.