AMAZING PEARL LLC – NPI #1184321549
Residential Treatment Facility, Physical Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

AMAZING PEARL LLC is a residential treatment facility (RTF) located in SEVERN, MD. NPPES has assigned the NPI number 1184321549 to AMAZING PEARL LLC on February 15, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320700000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Physical Disabilities. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 3 years ago on May 22, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMAZING PEARL LLC below.

NPI Profile for
AMAZING PEARL LLC

NPI Number
1184321549
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AMAZING PEARL LLC
Primary location
1758 RICHFIELD DR
SEVERN, MD 21144-3025
Phone: (240) 584-9454 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
YETUNDE SHETEOLU
ADMINISTRATOR
Phone: (240) 584-9454
Updated
Certification Date
Mar 03, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.