Provider Demographics
NPI:1164513586
Name:PEARLS HOPE, INC.
Entity Type:Organization
Organization Name:PEARLS HOPE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZILLAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:440-781-5200
Mailing Address - Street 1:20 W GRACE ST
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:OH
Mailing Address - Zip Code:44146-3287
Mailing Address - Country:US
Mailing Address - Phone:440-249-7000
Mailing Address - Fax:440-232-3801
Practice Address - Street 1:23900 COMMERCE PARK
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5822
Practice Address - Country:US
Practice Address - Phone:440-249-7000
Practice Address - Fax:440-232-3801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0259691Medicaid
OH2920450Medicaid