Active NPI
Nexus Hospice of the High Desert, LLC
- Community Based Hospice Care Agency
- Apple Valley, CA
National Provider Identifier
1194342188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- NEXUS HOSPICE OF THE HIGH DESERT, LLC
- Practice address
- 19195 Outer Hwy 18 Ste 204
Apple Valley, CA 92307-2562 - Phone
- (310) 435-1351
- Fax
- (760) 932-0130
- NPI assigned
- Jun 25, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ray Hahn
- Title
- Ceo
- Phone
- (310) 435-1351
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
19195 Outer Hwy 18 Ste 204
Apple Valley, CA 92307-2562
Mailing address
19195 Outer Hwy 18 Ste 204
Apple Valley, CA 92307-2562
Phone (310) 435-1351
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2322746 | Nexus Hospice of the High Desert LLC | Certificate of waiver | Apr 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
19195 Outer Highway 18
Ste 204
Apple Valley, CA 92307
Phone (310) 435-1351
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Northridge, CA
- NPI 1124318746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597622400000",
"number": "1194342188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19195 OUTER HWY 18 STE 204",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923072562",
"telephone_number": "310-435-1351",
"fax_number": "760-932-0130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19195 OUTER HWY 18 STE 204",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923072562",
"telephone_number": "310-435-1351",
"fax_number": "760-932-0130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEXUS HOSPICE OF THE HIGH DESERT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-25",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A",
"authorized_official_last_name": "HAHN",
"authorized_official_first_name": "RAY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-435-1351"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.