Pearl Rose Wellness, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PEARL ROSE WELLNESS, INC.

Practice address

1463 Oakfield Dr Ste 132
Brandon, FL 33511-0802

Phone

(813) 409-3425

Fax

(813) 409-3427

NPI assigned

Nov 2, 2022

Organization subpart

No

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

Authorized official

Name

Edna CarrascoNPI 1447974506

Title

President/ Operation Manager

Phone

(813) 409-3425

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Edna Carrasco, CMF

  • Mastectomy Fitter
  • Mulberry, FL
  • NPI 1447974506
  NPD Authorized official

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1972210508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 OAKFIELD DR STE 132",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335110802",
            "telephone_number": "813-409-3425",
            "fax_number": "813-409-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 OAKFIELD DR STE 132",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335110802",
            "telephone_number": "813-409-3425",
            "fax_number": "813-409-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL ROSE WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "CARRASCO",
        "authorized_official_first_name": "EDNA",
        "authorized_official_title_or_position": "PRESIDENT/ OPERATION MANAGER",
        "authorized_official_telephone_number": "813-409-3425"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Kareo",
            "affiliation": "N",
            "endpointDescription": "Medical Software/EHR/EMR/PM including Tebra and Trizetto companies as clearinghouse",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1463 Oakfield Dr Ste 132",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335110802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Brandon, FL
• Providers in Brandon, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.