Islamic Sonior Center of Coachell Valley

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ISLAMIC SONIOR CENTER OF COACHELL VALLEY

Practice address

73960 Highway 111 Ste 4
Palm Desert, CA 92260-4032

Phone

(760) 404-0447

NPI assigned

Nov 14, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Mohammed S Bwaneh

Title

Founder

Phone

(805) 904-7882

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1763078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1184584765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73960 HIGHWAY 111 STE 4",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604032",
            "telephone_number": "760-404-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73960 HIGHWAY 111 STE 4",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604032",
            "telephone_number": "760-404-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAMIC SONIOR CENTER OF COACHELL VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-14",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "BWANEH",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "805-904-7882",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.