CP High Desert S-Ca HH, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CP HIGH DESERT S-CA HH, LLC

Doing business as

Providence at Home with Compassus Home Health, High Desert

Practice address

17051 Main St
Hesperia, CA 92345-6055

Phone

(760) 956-4119

NPI assigned

Oct 29, 2024

Last updated

Oct 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terri Warren

Title

Chief Executive Officer

Phone

(310) 480-2982

Specialties & licenses 1

Addresses

Other names 1

• Providence at Home with Compassus Home Health, High Desert Doing business as

Locations

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1174345300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17051 MAIN ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17051 MAIN ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456055",
            "telephone_number": "760-956-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CP HIGH DESERT S-CA HH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-480-2982"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence at Home with Compassus Home Health, High Desert",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alicia Crismali
• Nicholas C Crismali, DPM

• Home Health Agency in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.