PROMESA HOME CARE. INC (NPI# 1639306301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639306301 |
| Entity Type | Organization |
| Organization Name | PROMESA HOME CARE. INC |
| Practice Address |
4053 Chestnut St Riverside CA 92501-3536 |
| Mailing Address |
3978 Brockton Ave Building B Riverside CA 92501-3203 |
| Practice Telephone | 9516823820 |
| Practice Fax Number | 8662306642 |
| Mailing Telephone | 9516823820 |
| Mailing Fax Number | 8662306642 |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2015-12-11 |
| Authorized Official Name | OMAR GOMEZ (DON/ADMINISTRATOR) |
| Authorized Official Telephone | 9516823820 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | Agencies | ||
| Y | 251J00000X | Nursing Care | 5500001804 | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | 550001804 | 01 |
| Street Address |
4053 CHESTNUT ST |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-3536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609104694 | Janine Murray | Marriage & Family Therapist | 4053 Chestnut St, Riverside, CA 92501-3536 | 2009-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437605 | Mary Horvatin | Technician | 1811 Rivera Strret, Riverside, CA 92501 | 2019-09-23 |
| 1366905473 | Timothy Daniel Collins | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 | 2019-04-08 |
| 1346709672 | Lourdes Adame | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 | 2019-03-16 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750888095 | Arunmozhi Aravagiri | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 | 2018-04-12 |
| 1720585847 | Alan Huynh | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 | 2018-04-06 |
| 1538664834 | Wilson Paul Frasca | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue, Riverside, CA 92501 | 2018-03-28 |
| 1851896575 | Geethu Gopinathan Nair | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 | 2018-03-26 |
| 1316465560 | Thilini Anne Abeygunaratne | Marriage & Family Therapist | 1950 Market Street, Riverside, CA 92501 | 2017-09-07 |
| 1194257410 | Melissa Chitwood | Assistant Behavior Analyst | 3078 Cedar St., Riverside, CA 92501 | 2017-03-28 |
| Find all providers in zip 92501 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083068142 | Healing Touch Nurses Group | Nursing Care | 19170 Pemberton Pl, Riverside, CA 92508-6010 | 2016-04-14 |
| 1538504865 | School Health Services, A Nursing Corp | Nursing Care | 4273 Brentwood Ave, Riverside, CA 92506-1057 | 2013-04-30 |
| 1205078409 | Nursing Angels, Inc. | Nursing Care | 7 Gearhart Street, Riverside, PA 17868 | 2009-04-02 |
| 1417135252 | Rbh Resources, Inc. | Nursing Care | 7121 Magnolia Ave, Suite D, Riverside, CA 92504-3805 | 2008-02-04 |
| 1376007773 | Sade Nicole Campbell | Nursing Care | 771 W Blaine St Ste C&d, Riverside, CA 92507-3940 | 2019-01-30 |
| 1790037323 | Omega Healthcare Concierge | Nursing Care | 4736 Victoria Ave, Riverside, CA 92507-5660 | 2012-10-05 |
| 1659419588 | Domh Riverside County | Nursing Care | 4275 Lemon St, Suite 207, Riverside, CA 92501-3844 | 2007-02-02 |
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|---|---|---|---|---|
| 1144821224 | Discovery Health Services | Nursing Care | 5726 La Jolla Blvd Ste 104, La Jolla, CA 92037-7342 | 2020-11-04 |
| 1457959496 | Meditas Corporation | Nursing Care | 4068 Park Vista Dr, Pasadena, CA 91107-1322 | 2020-10-13 |
| 1659978328 | La Tanya Wallace | Nursing Care | 3111 Camino Del Rio N Ste 4th, San Diego, CA 92108-5720 | 2020-10-06 |
| 1548874654 | Integral Advanced Nursing Services Corporation | Nursing Care | 4138 Towhee Dr, Calabasas, CA 91302-1823 | 2020-09-04 |
| 1295349777 | Tryfacta, Inc. | Nursing Care | 4637 Chabot Dr Ste 100, Pleasanton, CA 94588-2753 | 2020-09-02 |
| 1174135982 | Queens Manor 2 Home Care | Nursing Care | 248 Amelia Ct, Vista, CA 92084-2587 | 2020-08-21 |
| 1518579192 | Core Nursing, Inc. | Nursing Care | 1513 Portia St, Los Angeles, CA 90026-2651 | 2020-08-17 |
| 1316569189 | Sri Sai Krish Institute | Nursing Care | 12362 Beach Blvd Ste 14, Stanton, CA 90680-3957 | 2020-05-14 |
| 1669008934 | Angenida Hospice LLC | Nursing Care | 14081 Yorba St Ste 201, Tustin, CA 92780-2011 | 2020-03-19 |
| 1396379244 | Beckett Enterprise | Nursing Care | 900 Kincaid Ave # K8, Inglewood, CA 90302-2021 | 2020-03-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.