Provider Demographics
NPI:1376349084
Name:PEARL HOME CARE LLC
Entity type:Organization
Organization Name:PEARL HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANNETTE
Authorized Official - Middle Name:DAWAYN
Authorized Official - Last Name:WOODARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-845-0745
Mailing Address - Street 1:6206 PIERCE ARROW DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76001-7863
Mailing Address - Country:US
Mailing Address - Phone:817-845-0745
Mailing Address - Fax:
Practice Address - Street 1:6206 PIERCE ARROW DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76001-7863
Practice Address - Country:US
Practice Address - Phone:817-845-0745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-22
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)