HEALING PALMS HEALTHCARE, LLC
NPI 1770347650
Home Health in Rancho Cucamonga, CA

Q: What is Healing Palms Healthcare, LLC's NPI number?

The NPI number for Healing Palms Healthcare, LLC is 1770347650. It was assigned to this organization in the NPPES registry on February 12, 2024.

Q: What is Healing Palms Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since February 12, 2024CLIA 05D2343794 · Waiver

11175 AZUSA CT STE 110, RANCHO CUCAMONGA, CA 91730(310) 528-5848 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Healing Palms Healthcare, Llc NPPES

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

HEALING PALMS HEALTHCARE, LLC (NPI 1770347650) is a healthcare organization registered as a home health in Rancho Cucamonga, California and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through May 11, 2028 and lists Jude E Okwor, Administrator, as its authorized official.

NPPES Registry Identity

NPI1770347650

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameHEALING PALMS HEALTHCARE, LLC

Location Address11175 AZUSA CT STE 110Rancho Cucamonga, CA 91730-4933

Mailing Address11175 Azusa Ct Ste 110Rancho Cucamonga, CA 91730-4933 · (310) 528-5848

Phone(310) 528-5848

Organization SubpartNo

Authorized OfficialJude E OkworAdministrator · (310) 528-5848

Enumeration DateFebruary 12, 2024

NPPES CertifiedFebruary 10, 2024

✔ NPI 1770347650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

11175 AZUSA CT STE 110, Rancho Cucamonga, CA 91730

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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 05D2343794

Healing Palms Healthcare, LLC · Rancho Cucamonga, CA

Active · expires May 11, 2028

CLIA Number05D2343794

Laboratory TypeHome Health Agency

Certificate Effective DateMay 12, 2026

Certificate Expiration DateMay 11, 2028

Laboratory DirectorUju P. Ezeamama

Laboratory Phone(310) 528-5848

Laboratory LocationHealing Palms Healthcare, LLC1175 Azusa Court St #110, Rancho Cucamonga, CA 91730

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MARQUAN THOMAS

Community Health Worker