Organization Active NPI

Desert Serenity, Inc

Doing business as Desert Serenity Adult Residential Facility, LLC

  • Home Health Agency
  • Cathedral City, CA
National Provider Identifier
1003561317
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DESERT SERENITY, INC
Doing business as
Desert Serenity Adult Residential Facility, LLC
Practice address
68896 Corral Rd
Cathedral City, CA 92234-4214
Phone
(760) 397-7034
Fax
(760) 377-9003
NPI assigned
Feb 15, 2022
Last updated
Feb 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Joseph Spedaliere
Title
Owner
Phone
(760) 397-7034

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Child Mental Illness Respite Care 385HR2055X NU
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X NU
Child Physical Disabilities Respite Care 385HR2065X NU

Addresses

Primary practice location

68896 Corral Rd
Cathedral City, CA 92234-4214

Mailing address

68896 Corral Rd
Cathedral City, CA 92234-4214
Phone (760) 397-7034

Other names 1

  • Desert Serenity Adult Residential Facility, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1003561317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68896 CORRAL RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922344214",
            "telephone_number": "760-397-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68896 CORRAL RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922344214",
            "telephone_number": "760-397-7034",
            "fax_number": "760-377-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT SERENITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "SPEDALIERE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-397-7034"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Serenity Adult Residential Facility, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cathedral City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.