MEDICARE: PEARLS TENDER CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	342000000X	Transportation Network Company
3	343800000X	Secured Medical Transport (VAN)
4	347E00000X	Transportation Broker
5	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1093309718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEARLS TENDER CARE INC

Provider Business Mailing Address
First Line	:	1412 CARANCHO DR
Second Line	:
City	:	LITTLE ELM
State	:	TX
Zip	:	75068-1799
Country	:	US
Telephone Number	:	214-690-4266
Fax Number	:

Provider Business Practice Location Address
First Line	:	11615 FOREST CENTRAL DR STE 109
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-3854
Country	:	US
Telephone Number	:	214-690-4266
Fax Number	:	214-594-9951

Authorized Official
Title or Position	:	OWNER
Name	:	IFEANYI JOY UDOROH
Credential	:
Telephone Number	:	214-690-4266

Provider Enumeration Date	:	02/23/2021
Last Update Date	:	05/06/2024

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Directions to “PEARLS TENDER CARE INC ” Practice Location

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