Desert Wind Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

DESERT WIND HOSPICE, INC.

Practice address

14359 Amargosa Rd Ste O
Victorville, CA 92392-2385

Phone

(442) 255-4311

NPI assigned

Nov 1, 2019

Organization subpart

No

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

Authorized official

Name

William Mangangey

Title

Ceo

Phone

(442) 255-4311

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B21628

Legal name

DESERT WIND HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 3, 2021

Last certification

Jul 3, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jul 12, 2019 in CA

Enrollment address

14359 Amargosa Rd
Ste O
Victorville, CA 92392-2385

Listed as

Desert Wind Hospice IncCCN B21628

Ownership

For-Profit

Certified

Jul 3, 2021

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Kenneth Grier, M.D.

  • Family Medicine Physician
  • Apple Valley, CA
  • NPI 1114235744

  Hospice

  Care Compare affiliation
• Shaheen Iqbal, M.D.

  • Internal Medicine Physician
  • La Palma, CA
  • NPI 1366514499

  Hospice

  Care Compare affiliation
• Arash Milani, MD

  • Internal Medicine Physician
  • Victorville, CA
  • NPI 1043581317

  Hospice

  Care Compare affiliation
• Bashar Mousa Shahatit, M.D.

  • Family Medicine Physician
  • Apple Valley, CA
  • NPI 1831416742

  Hospice

  Care Compare affiliation
• Imran Siddiqui, M.D.

  • Internal Medicine Physician
  • Victorville, CA
  • NPI 1134535792

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572566400000",
    "number": "1053955070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14359 AMARGOSA RD STE O",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922385",
            "telephone_number": "442-255-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14359 AMARGOSA RD STE O",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922385",
            "telephone_number": "442-255-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT WIND HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A",
        "authorized_official_last_name": "MANGANGEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "442-255-4311"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Valley Medical Group, Inc.
• Desert Valley Medical Transport Inc
• Desert View Endoscopy Center, LLC.
• Desert View Hospice, Inc.
• Desert Vista Anesthesiology Medical Group, Inc.
• Angellena Laval Desousa, LVN
• Ashley Deveze
• Deandra Devine
• Aditya Devineni, MD, MS
• Venkat Devineni, MD

• Community Based Hospice Care Agency in Victorville, CA
• Providers in Victorville, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.