Healthcare Provider Details

I. General information

NPI: 1093309718
Provider Name (Legal Business Name): PEARLS TENDER CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2021
Last Update Date: 05/06/2024
Certification Date: 05/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11615 FOREST CENTRAL DR STE 109
DALLAS TX
75243-3854
US

IV. Provider business mailing address

1412 CARANCHO DR
LITTLE ELM TX
75068-1799
US

V. Phone/Fax

Practice location:
  • Phone: 214-690-4266
  • Fax: 214-594-9951
Mailing address:
  • Phone: 214-690-4266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: IFEANYI JOY UDOROH
Title or Position: OWNER
Credential:
Phone: 214-690-4266