Desert Horizon Residential Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DESERT HORIZON RESIDENTIAL CARE

Practice address

15952 Condor Rd
Victorville, CA 92394

Phone

(760) 953-5286

NPI assigned

May 28, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Shattles-BreedloveNPI 1902679509

Title

Administrator

Phone

(760) 953-5286

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Shattles-Breedlove

  • Assisted Living Facility
  • Victorville, CA
  • NPI 1902679509
  NPD Authorized official

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1164045803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15952 CONDOR RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92394",
            "telephone_number": "760-953-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15952 CONDOR RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92394",
            "telephone_number": "760-953-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT HORIZON RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "SHATTLES-BREEDLOVE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "760-953-5286",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Department of Behavioral Health, San Bernardino County Ca
• Tejal Desai
• Desert Bloom Recovery LLC
• Desert Community Hospice, Inc.
• Desert Heart Cardiology and Associates PLC
• Desert Medical Equipment, Inc
• Desert Ridge Transitional Care Center, LP
• Desert Rose Trauma Recovery
• Desert Valley Home Health, Inc.
• Desert Valley Hospital, LLC

• Assisted Living Facility in Victorville, CA
• Providers in Victorville, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.