Healthcare Provider Details

I. General information

NPI: 1962220269
Provider Name (Legal Business Name): PALLIARE HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2024
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7954 STELLA ST
RIVERSIDE CA
92504-3541
US

IV. Provider business mailing address

231 E ALESSANDRO BLVD # 670
RIVERSIDE CA
92508-5084
US

V. Phone/Fax

Practice location:
  • Phone: 951-567-0457
  • Fax: 951-324-1314
Mailing address:
  • Phone: 951-567-0457
  • Fax: 951-324-1314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DEBRA CABRERA-PFEIFFER
Title or Position: ADMINISTRATOR
Credential: MA
Phone: 951-567-0457