MEDICARE: PEARL OF DAWN HOME CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1063366730
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEARL OF DAWN HOME CARE LLC

Provider Business Mailing Address
First Line	:	50 E WILLOW GROVE AVE STE 1
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19118-3464
Country	:	US
Telephone Number	:	267-577-9806
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 E WILLOW GROVE AVE STE 1
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19118-3464
Country	:	US
Telephone Number	:	267-577-9806
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. SHANTE OCTAVIA JACKSON
Credential	:	LPN
Telephone Number	:	267-577-9806

Provider Enumeration Date	:	02/20/2026
Last Update Date	:	02/20/2026

Similar Medicare Providers

1982594313 — SHANTE OCTAVIA JACKSON LPN
Practice Location Address:

50 E WILLOW GROVE AVE APT 1
PHILA, PA
19118-3464

Practice Phone: 856-514-0073
Practice Fax:

1396570073 — RITECHOICE RX HUB LLC
Practice Location Address:

2520 N 2ND ST BLDG B
PHILADELPHIA, PA
19133-3464

Practice Phone: 215-914-8834
Practice Fax: 267-793-0048

1053305680 — DR. TREY L KAMPLAIN M.D.
Practice Location Address:

8835 GERMANTOWN AVE
PHILADELPHIA, PA
19118-2718

Practice Phone: 215-248-8200
Practice Fax: 215-248-8715

1548657174 — ALVA ROBINSON LCSW
Practice Location Address:

8419 GERMANTOWN AVE STE 6
PHILADELPHIA, PA
19118-3325

Practice Phone: 215-621-6474
Practice Fax: 223-203-0697

1487657656 — MULKI GIRIDHAR BHAT M.D.
Practice Location Address:

8835 GERMANTOWN AVE
PHILADELPHIA, PA
19118-2718

Practice Phone: 215-248-8200
Practice Fax:

1326041583 — LINDA DUNN MD
Practice Location Address:

8835 GERMANTOWN AVE
PHILADELPHIA, PA
19118-2718

Practice Phone: 215-248-8492
Practice Fax: 215-248-8905

Directions to “PEARL OF DAWN HOME CARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.