Provider Demographics
NPI:1619677762
Name:PEAR SUITE, INC.
Entity Type:Organization
Organization Name:PEAR SUITE, INC.
Other - Org Name:PEAR SUITE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:COLBY
Authorized Official - Middle Name:
Authorized Official - Last Name:TAKEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-497-6647
Mailing Address - Street 1:988 HALEKAUWILA ST APT 3302
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4051
Mailing Address - Country:US
Mailing Address - Phone:628-204-4124
Mailing Address - Fax:
Practice Address - Street 1:988 HALEKAUWILA ST APT 3302
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4051
Practice Address - Country:US
Practice Address - Phone:628-204-4124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-07
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health