Palisades Healthcare Services, LLC

NPI #1770150708 in Perris, California

Provider Information

NPI Number: 1770150708
Entity Type: Organization
Organization Name: Palisades Healthcare Services, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: PALISADES HEALTHCARE SERVICES, LLC
Primary Specialty: Home Health
Enumeration Date: Jun 8, 2021
Last Updated: Jun 8, 2021

Practice Location

Address: 1163 YORBA ST
City: Perris
State: California
ZIP Code: 92571-7776
Phone: (213) 263-1442

Authorized Official

Name: DR. TOMEKO JOHNSON-SMITH, MHA, ED.D, PH.D, PMP
Title: CEO
Phone: (213) 263-1442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nursing Care	251J00000X
In Home Supportive Care	253Z00000X
Clinic/Center - Adult Day Care — Adult Day Care	261QA0600X
Clinic/Center - Rehabilitation — Rehabilitation	261QR0400X
Assisted Living Facility	310400000X
Durable Medical Equipment & Medical Supplies	332B00000X
Non-emergency Medical Transport (VAN)	343900000X
Home Health	251E00000X	Primary

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