Pearls Professional Home Health Agency Phase II

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PEARLS PROFESSIONAL HOME HEALTH AGENCY PHASE II

Practice address

2780 Saint Catherine St
Florissant, MO 63033-3626

Phone

(314) 731-6021

Fax

(314) 731-6043

NPI assigned

Aug 28, 2020

Organization subpart

No

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

Authorized official

Name

Jania Victory

Title

Member

Phone

(314) 731-6021

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Famous

  • Home Health Agency
  • Florissant, MO
  • NPI 1457894560
  NPD

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1962015875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 SAINT CATHERINE ST",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630333626",
            "telephone_number": "314-731-6021",
            "fax_number": "314-731-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 SAINT CATHERINE ST",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630333626",
            "telephone_number": "314-731-6021",
            "fax_number": "314-731-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLS PROFESSIONAL HOME HEALTH AGENCY PHASE II",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "VICTORY",
        "authorized_official_first_name": "JANIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "314-731-6021"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018742",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Damon Payton, DPM
• Peace and Pleasant Home Health, LLC
• Peace of Mind CDS LLC
• Peace of Mind in-Home LLC
• Pearls Professional Home Health Agency LLC
• Stacy Nakia Peebles, LCSW, PHD
• Diliane Charles Pelikan, MD
• Antonio R Penilla, M.D.
• Chyla Pennington
• Akilah Penny

• Home Health Agency in Florissant, MO
• Providers in Florissant, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.