Provider Demographics
NPI:1841402237
Name:PALMERA HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:PALMERA HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON & ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ABRILLE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:760-779-1166
Mailing Address - Street 1:44100 MONTEREY AVE
Mailing Address - Street 2:SUITE 216-Q
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-2713
Mailing Address - Country:US
Mailing Address - Phone:760-779-1166
Mailing Address - Fax:760-779-1199
Practice Address - Street 1:44100 MONTEREY AVE
Practice Address - Street 2:SUITE 216-Q
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-2713
Practice Address - Country:US
Practice Address - Phone:760-779-1166
Practice Address - Fax:760-779-1199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPENDING251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health