1. Home
  2. Directory
  3. California
  4. Riverside
  5. Nursing Care
  6. NPI Profile

PROMESA HOME CARE. INC
NPI 1639306301
Nursing Care in Riverside, CA

Active since June 19, 2009CLIA 05D2043794 · Waiver
4053 CHESTNUT ST, RIVERSIDE, CA 92501(951) 682-3820(866) 230-6642 Get Directions Write a Review

NPPES record last updated: December 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Promesa Home Care. Inc NPPES

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

PROMESA HOME CARE. INC (NPI 1639306301) is a healthcare organization registered as a nursing care in Riverside, California and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through July 9, 2028 and lists Omar Gomez, Don/administrator, as its authorized official.

NPPES Registry Identity

NPI1639306301
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NamePROMESA HOME CARE. INC
Location Address4053 CHESTNUT STRiverside, CA 92501-3536
Mailing Address3978 Brockton Ave, Building BRiverside, CA 92501-3203 · (951) 682-3820 · Fax (866) 230-6642
Phone(951) 682-3820
Fax(866) 230-6642
Organization SubpartNo
Authorized OfficialOmar GomezDon/administrator · (951) 682-3820
Enumeration DateJune 19, 2009
Last NPPES UpdateDecember 11, 2015
✔ NPI 1639306301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
License✔ Licensed in CA · 5500001804
Definition
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.
4053 CHESTNUT ST, Riverside, CA 92501
Open in Google Maps ↗

Other Identifiers 1

Other550001804CA · State License

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 05D2043794

Promesa Home Care Inc · Riverside, CA
Active · expires Jul 9, 2028
CLIA Number05D2043794
Laboratory TypeHome Health Agency
Certificate Effective DateJuly 10, 2026
Certificate Expiration DateJuly 9, 2028
Laboratory DirectorDavid K. Fukuda
Laboratory Phone(951) 682-3820
Laboratory LocationPromesa Home Care Inc3978 Brockton Ave, Riverside, CA 92501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

JANINE MURRAY MFT
Marriage & Family Therapist
4053 CHESTNUT ST
RIVERSIDE, CA 92501
Riverside County (951) 452-1185
TERAPIA EN ESPANOL FAMILY COUNSELING APC
Marriage & Family Therapist
4053 CHESTNUT ST
RIVERSIDE, CA 92501
Riverside County (951) 204-4769

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 Promesa Home Care. Inc's NPI number?

The NPI number for Promesa Home Care. Inc is 1639306301. It was assigned to this organization in the NPPES registry on June 19, 2009.

Where is Promesa Home Care. Inc located?

Promesa Home Care. Inc is located at 4053 Chestnut St, Riverside, CA 92501. The listed phone number is (951) 682-3820.

What is Promesa Home Care. Inc's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

Does Promesa Home Care. Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2043794) is associated with this NPI, valid through July 9, 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 Promesa Home Care. Inc was last updated on December 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.