PEARL GROUP HOMES (NPI# 1760783153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760783153 |
| Entity Type | Organization |
| Organization Name | PEARL GROUP HOMES |
| Practice Address |
1740 E 17th St Suite A Idaho Falls ID 83404-6375 |
| Practice Telephone | 2083467500 |
| Practice Fax Number | 2083467501 |
| Mailing Telephone | 2083467500 |
| Mailing Fax Number | 2083467501 |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |
| Authorized Official Name | MS. LISA C BOWMAN (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 2083467500 |
| Authorized Official Credential | M.S. PSYCHOLOGY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | ID | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811292915 | Pearl Group Homes | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1740 E 17th St, Suite A, Idaho Falls, ID 83404-6375 | 2011-01-20 |
| Street Address |
1740 E 17TH ST SUITE A |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-6375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861467375 | Manuel Sierra | Psychiatry & Neurology | 1740 E 17th St, Suite A, Idaho Falls, ID 83404-6375 | 2006-02-19 |
| 1215398672 | Bmh, Inc | Family Medicine | 1740 E 17th St, Idaho Falls, ID 83404-6365 | 2016-03-14 |
| 1316312747 | Myria Johnson | Social Worker | 1740 E 17th St, Idaho Falls, ID 83404-6375 | 2015-12-10 |
| 1235503061 | Rachel Kent | Social Worker | 1740 E 17th St, Idaho Falls, ID 83404-6375 | 2015-11-17 |
| 1568833523 | Brianne Cook | Social Worker | 1740 E 17th St, Idaho Falls, ID 83404 | 2015-10-15 |
| 1578954806 | James Karn | Social Worker | 1740 E 17th St, Idaho Falls, ID 83404-6375 | 2015-02-09 |
| 1477974871 | Oryan Rodriguez | Social Worker | 1740 E 17th St, Idaho Falls, ID 83404-6375 | 2014-01-02 |
| 1942635529 | David Newell Chiddix | Social Worker | 1740 E 17th St, Idaho Falls, ID 83404-6375 | 2013-09-13 |
| 1043645740 | Itzel Valencia | Social Worker | 1740 E 17th St, Idaho Falls, ID 83404-6375 | 2013-09-12 |
| 1205261492 | Megan Diane Izatt | Social Worker | 1740 E 17th St, Idaho Falls, ID 83404-6375 | 2013-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477016947 | Intrinsic Holdings Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9006 E Cedar Point Ln, Idaho Falls, ID 83401-4834 | 2019-04-10 |
| 1578724910 | Grand Teton Service Group | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 329 Park Ave, Idaho Falls, ID 83402-3610 | 2008-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003145533 | Ambitions of Idaho, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 915 Parkcentre Way, Nampa, ID 83651-1745 | 2009-12-11 |
| 1861687329 | Seven Oaks Community Homes, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 583 N Larri Lee St, Post Falls, ID 83854 | 2007-09-07 |
| 1174742217 | Communicare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1210 W Boone Ave, Nampa, ID 83651-1815 | 2007-04-25 |
| 1891913026 | Communicare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 32 N Gem St, Nampa, ID 83651-2267 | 2007-04-23 |
| 1467670448 | Communicare, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 180 E Park St, Weiser, ID 83672-2011 | 2007-04-23 |
| 1093933186 | Communicare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2650 S Pond St, Boise, ID 83705-3839 | 2007-04-23 |
| 1871711861 | Communicare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2903 Cougar Ave, Nampa, ID 83687-9108 | 2007-04-23 |
| 1053539163 | Communicare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4150 Leland Way, Boise, ID 83709-4606 | 2007-04-23 |
| 1053539189 | Communicare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 750 Swan Falls Rd, Kuna, ID 83634-2334 | 2007-04-23 |
| 1063630051 | Communicare, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1118 N Lincoln Ave, Jerome, ID 83338-1855 | 2007-04-23 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.