MONTEVERA PEARL RESIDENCE LLC
NPI 1003772534
Assisted Living Facility - Assisted Living, Mental Illness in Tacoma, WA

Active since December 29, 2025CLIA 50D2341139 · Waiver
815 S PEARL ST, TACOMA, WA 98465(253) 881-7680 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 14, 2026, Dec 29, 2025 (2 updates tracked since 2025).

About Montevera Pearl Residence Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONTEVERA PEARL RESIDENCE LLC (NPI 1003772534) is a healthcare organization registered as an assisted living, mental illness in Tacoma, Washington and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Jean Montenegro De Vera, Administrator, as its authorized official.

NPPES Registry Identity

NPI1003772534
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameMONTEVERA PEARL RESIDENCE LLC
Location Address815 S PEARL STTacoma, WA 98465-2117
Mailing Address8007 51st Ave SwLakewood, WA 98499-4051 · (253) 881-7680
Organization SubpartNo
Authorized OfficialJean Montenegro De VeraAdministrator · (253) 881-7680
Enumeration DateDecember 29, 2025
Last NPPES UpdateJanuary 14, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
NPI 1003772534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

815 S PEARL ST, Tacoma, WA 98465

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2341139

Montevera Pearl Residence · Tacoma, WA
Active · expires Apr 4, 2028
CLIA Number50D2341139
Laboratory TypeEsf
Certificate Effective DateMarch 27, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJean De Vera
Laboratory Phone(253) 881-7680
Laboratory LocationMontevera Pearl Residence815 S Pearl St., Tacoma, WA 98465
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
815 S PEARL ST
TACOMA, WA 98465
Registered Nurse (Psychiatric/Mental Health)
815 S PEARL ST
TACOMA, WA 98465
Counselor
815 S PEARL ST
TACOMA, WA 98465
Marriage & Family Therapist
815 S PEARL ST
TACOMA, WA 98465
Counselor (Mental Health)
815 S PEARL ST
TACOMA, WA 98465
Counselor (Mental Health)
815 S PEARL ST
TACOMA, WA 98465
Counselor
815 S PEARL ST
TACOMA, WA 98465
Licensed Practical Nurse
815 S PEARL ST
TACOMA, WA 98465

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Montevera Pearl Residence LLC's NPI number?

The NPI number for Montevera Pearl Residence LLC is 1003772534. It was assigned to this organization in the NPPES registry on December 29, 2025.

Where is Montevera Pearl Residence LLC located?

Montevera Pearl Residence LLC is located at 815 S Pearl St, Tacoma, WA 98465. The listed phone number is (253) 881-7680.

What is Montevera Pearl Residence LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Does Montevera Pearl Residence LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2341139) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Montevera Pearl Residence LLC was last updated on January 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.