Organization Active NPI

Coachella Valley Home Health, LLC

  • Home Health Agency
  • Palm Springs, CA
National Provider Identifier
1194087122
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
20003713 Issued in CA
Legal business name
COACHELLA VALLEY HOME HEALTH, LLC
Practice address
490 S Farrell Dr
Suite 202
Palm Springs, CA 92262-7992
Phone
(760) 323-1122
Fax
(760) 318-9117
NPI assigned
Jun 14, 2012
Last updated
Jun 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Mr. Kevin Bass
Title
Member
Phone
(760) 323-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 20003713 CA Primary

Addresses

Primary practice location

490 S Farrell Dr
Suite 202
Palm Springs, CA 92262-7992

Mailing address

490 S Farrell Dr
Suite 202
Palm Springs, CA 92262-7992
Phone (760) 323-1122

National Provider Directory

National Provider Directory

Locations

490 S Farrell Dr
Ste 202
Palm Springs, CA 92262
Phone (760) 323-1122

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1194087122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 S FARRELL DR",
            "address_2": "SUITE 202",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627992",
            "telephone_number": "760-323-1122",
            "fax_number": "760-318-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 S FARRELL DR",
            "address_2": "SUITE 202",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627992",
            "telephone_number": "760-323-1122",
            "fax_number": "760-318-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COACHELLA VALLEY HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "760-323-1122",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "20003713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.