Provider Demographics
NPI:1326620543
Name:PEARSON'S FAMILY CARE LLC
Entity Type:Organization
Organization Name:PEARSON'S FAMILY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEONTA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-251-0771
Mailing Address - Street 1:1175 PINELLAS POINT DR S APT 100
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-6095
Mailing Address - Country:US
Mailing Address - Phone:727-251-0771
Mailing Address - Fax:
Practice Address - Street 1:1175 PINELLAS POINT DR S APT 100
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-6095
Practice Address - Country:US
Practice Address - Phone:727-251-0771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-27
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care