Organization Active NPI

Black Pearl Home Care

  • Respite Care
  • Jacksonville, NC
National Provider Identifier
1952012155
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
BLACK PEARL HOME CARE
Practice address
2457 Gum Branch Rd Ste 1000
Jacksonville, NC 28540-4008
Phone
(910) 939-2006
NPI assigned
Dec 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Authorized official

Name
Ms. Karen Carroll
Title
Regional Director
Phone
(910) 939-2006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

2457 Gum Branch Rd Ste 1000
Jacksonville, NC 28540-4008

Mailing address

2457 Gum Branch Rd Ste 1000
Jacksonville, NC 28540-4008
Phone (910) 939-2006

Other names 1

  • Black Pearl Home Care Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL URL
Direct Messaging Address lorie@blackpearlhomecare.com

National Provider Directory

National Provider Directory

Locations

2457 Gum Branch Rd
Ste 1000
Jacksonville, NC 28540
Phone (910) 346-2311

NPI Registry JSON

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1952012155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2457 GUM BRANCH RD STE 1000",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404008",
            "telephone_number": "910-939-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2457 GUM BRANCH RD STE 1000",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404008",
            "telephone_number": "910-939-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK PEARL HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "910-939-2006",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "address_1": "2457 Gum Branch Rd Ste 1000",
            "city": "Jacksonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285404008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lorie@blackpearlhomecare.com",
            "affiliation": "N",
            "address_1": "2457 Gum Branch Rd Ste 1000",
            "city": "Jacksonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285404008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Black Pearl Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.