PEARL CARE HOME LLC
NPI 1336850361
Custodial Care Facility - Adult Care Home in Henderson, NV

NPI Status: Active since December 12, 2022

Contact Information

1012 PARADISE VIEW ST
HENDERSON, NV
ZIP 89052
Phone: (702) 614-7059
Fax: (702) 614-1247

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  • Organization
  • Custodial Care Facility
  • Adult Care Home

About PEARL CARE HOME LLC

This page provides the complete NPI Profile along with additional information for Pearl Care Home Llc, a provider established in Henderson, Nevada operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1336850361 assigned on December 2022. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. Roy Deguzman Desamito (Managing Member / Manager)

NPI
1336850361
Provider Name
PEARL CARE HOME LLC
Entity Type
Organization
Location Address
1012 PARADISE VIEW ST HENDERSON, NV 89052
Location Phone
(702) 614-7059
Location Fax
(702) 614-1247
Mailing Address
1012 PARADISE VIEW ST HENDERSON, NV 89052
Mailing Phone
(702) 614-7059
Mailing Fax
(702) 614-1247
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-12-2022
Last Update Date
12-12-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ROY DEGUZMAN DESAMITO

Authorized Official Title
MANAGING MEMBER / MANAGER
Authorized Official Phone
(702) 807-9971

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336850361
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23661650312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 6 + 5 + 0 + 3 + 1 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1336850361 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790334365ALEBRIS HOME CARE, INC.
Organization
Alzheimer Center (Dementia Center)1012 PARADISE VIEW ST
HENDERSON, NV 89052
(702) 614-7079
1174269385MS. RIA DESAMITO CARLISLE
Individual
Custodial Care Facility (Adult Care Home)1012 PARADISE VIEW ST
HENDERSON, NV 89052
(702) 614-7079

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336850361, enumerated in the NPI registry as an "organization" on December 12, 2022

The provider is located at 1012 Paradise View St Henderson, Nv 89052 and the phone number is (702) 614-7059

This medical organization specializes in Custodial Care Facility with taxonomy code 311ZA0620X with a focus in Adult Care Home

This NPI record was last updated on December 12, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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