MONTEVERA PEARL RESIDENCE LLC NPI 1003772534

NPI Information

  • NPI: 1003772534
  • Provider Name: MONTEVERA PEARL RESIDENCE LLC
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Address: 815 S PEARL ST
    TACOMA, WA
    ZIP 98465
  • Phone: (253) 881-7680

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NPI Details

MONTEVERA PEARL RESIDENCE LLC is a community based residential treatment facility mental illness in Tacoma, WA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MONTEVERA PEARL RESIDENCE LLC NPI is 1003772534. The provider is registered as an organization entity type.

The provider's business location address is:

815 S PEARL ST
TACOMA, WA
ZIP 98465-117
Phone: (253) 881-7680

The provider's authorized official is Jean Montenegro De Vera .
The authorized official title is Administrator and has the following contact phone number (253) 881-7680.

The enumeration date for this NPI number is 12/29/2025 and was last updated on 12/29/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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