Provider Demographics
NPI:1669890240
Name:PEARLS HOPE
Entity type:Organization
Organization Name:PEARLS HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DAYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:RASBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-782-1516
Mailing Address - Street 1:15400 WINGATE RD
Mailing Address - Street 2:
Mailing Address - City:MAPLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44137-3727
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15400 WINGATE RD
Practice Address - Street 2:
Practice Address - City:MAPLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44137-3727
Practice Address - Country:US
Practice Address - Phone:440-782-1516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-01
Last Update Date:2018-03-06
Deactivation Date:2018-02-21
Deactivation Code:
Reactivation Date:2018-03-06
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2807369Medicaid