Palm Garden Retirement Home & Dementia Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

PALM GARDEN RETIREMENT HOME & DEMENTIA CARE

Practice address

8891 E Herndon Ave
Clovis, CA 93619-9089

Phone

(559) 203-1657

Fax

(559) 436-4704

NPI assigned

Sep 29, 2026

Last updated

Sep 29, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

KOPACZ RESIDENTIAL CARE INCAs reported in NPPES

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

Authorized official

Name

Camalah Kopacz, RN

Title

President

Phone

(559) 917-0440

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1952215899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 RIALTO AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116545",
            "telephone_number": "559-515-6189",
            "fax_number": "559-436-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8891 E HERNDON AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936199089",
            "telephone_number": "559-203-1657",
            "fax_number": "559-436-4704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1828 Santa Ana Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936114125",
            "country_code": "US",
            "telephone_number": "559-292-1179",
            "fax_number": "559-436-4704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PALM GARDEN RETIREMENT HOME & DEMENTIA CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KOPACZ RESIDENTIAL CARE INC",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "KOPACZ",
        "authorized_official_first_name": "CAMALAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-917-0440",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlo Magno Arriba Paderna, D.D.S.
• Brenda Padilla
• Jesse Anthony Padilla
• Eric L Pagenkopf, M.D.
• Aashita Pahwa, LMFT
• Rehmat Kaur Pannu, DDS
• Dana E Panoff, DDS
• Julian Panolli, DNP
• Jan Erik Paris, PT
• John Parker, PA

• Adult Care Home Facility in Clovis, CA
• Providers in Clovis, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.