Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MEDHOME HEALTHCARE INC.
NPI 1053297366
Clinic/Center - Health Service in San Bernardino, CA

Active since August 12, 2025CLIA 05D2342804 · Waiver
1374 N WATERMAN AVE, SAN BERNARDINO, CA 92404(840) 444-7745 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2026, Jan 25, 2026, Aug 12, 2025 (3 updates tracked since 2025).

About Medhome Healthcare Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDHOME HEALTHCARE INC. (NPI 1053297366), doing business as Medhome Wound Care Associates, Inc, is a healthcare organization registered as a health service in San Bernardino, California and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through April 26, 2028 and lists Kwame Agyeman, Medical Director/ceo, as its authorized official.

NPPES Registry Identity

NPI1053297366
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameMEDHOME HEALTHCARE INC.
Location Address1374 N WATERMAN AVESan Bernardino, CA 92404-5313
Mailing Address25448 Lawton AveLoma Linda, CA 92354-3693 · (951) 640-9517
Organization SubpartNo
Authorized OfficialKwame AgyemanMedical Director/ceo · (951) 640-9517
Enumeration DateAugust 12, 2025
Last NPPES UpdateJuly 15, 20263 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
NPI 1053297366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
1374 N WATERMAN AVE, San Bernardino, CA 92404

Other Names 2

Doing Business AsMedhome Wound Care Associates, Inc
Former Legal Business NameMedhome Healthcare Llc

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2342804

Medhome Healthcare Inc · San Bernardino, CA
Active · expires Apr 26, 2028
CLIA Number05D2342804
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorAgyeman B. Kwame
Laboratory Phone(951) 524-3477
Laboratory LocationMedhome Healthcare Inc1374 N Waterman Ave, San Bernardino, CA 92404
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1374 N WATERMAN AVE
SAN BERNARDINO, CA 92404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medhome Healthcare Inc.'s NPI number?

The NPI number for Medhome Healthcare Inc. is 1053297366. It was assigned to this organization in the NPPES registry on August 12, 2025. The provider is doing business as Medhome Wound Care Associates, Inc. The provider was formerly known as Medhome Healthcare LLC.

Where is Medhome Healthcare Inc. located?

Medhome Healthcare Inc. is located at 1374 N Waterman Ave, San Bernardino, CA 92404. The listed phone number is (840) 444-7745.

What is Medhome Healthcare Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Medhome Healthcare Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2342804) is associated with this NPI, valid through April 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medhome Healthcare Inc. was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.