Palisades Healthcare Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PALISADES HEALTHCARE SERVICES, LLC

Practice address

1163 Yorba St
Perris, CA 92571-7776

Phone

(213) 263-1442

NPI assigned

Jun 8, 2021

Organization subpart

Yes

Parent organization

PALISADES HEALTHCARE SERVICES, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tomeko Johnson-Smith, MHA, ED.D, PH.D, PMP

Title

Ceo

Phone

(213) 263-1442

Specialties & licenses 8

Addresses

Other names 4

• PALISADES HEALTHCARE SYSTEM Doing business as
• PALISADES HOMES Doing business as
• PALISADES MINUTE CARE CLINIC Doing business as
• PALISADES TRANSPORTATION SERVICES Doing business as

Part of

Palisades Healthcare Services LLC

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1770150708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 YORBA ST",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925717776",
            "telephone_number": "213-263-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 YORBA ST",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925717776",
            "telephone_number": "213-263-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALISADES HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALISADES HEALTHCARE SERVICES, LLC",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-SMITH",
        "authorized_official_first_name": "TOMEKO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-263-1442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MHA, ED.D, PH.D, PMP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALISADES HEALTHCARE SYSTEM",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PALISADES HOMES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PALISADES MINUTE CARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PALISADES TRANSPORTATION SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Owens
• Noemi Padilla, M.A.
• Emmanuel Philip Antonio Padron, APCC, PPS
• Madison Page, DC
• Mariana Palafox
• Alejandra Palma
• Aurelio Paredes, MS
• Parent Pathfinders
• Gregory Eugene Parks Sr., CNA
• Elisa Parmentier

• Home Health Agency in Perris, CA
• Providers in Perris, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.