Active NPI
Black Pearl Home Care
- Respite Care
- Jacksonville, NC
National Provider Identifier
1952012155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | URL | ||
| Direct Messaging Address | lorie@blackpearlhomecare.com |
National Provider Directory
National Provider DirectoryLocations
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.