Cathedral City Palms, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CATHEDRAL CITY PALMS, LLC

Doing business as

Desert Palms Recovery

Practice address

67580 Jones Rd
Cathedral City, CA 92234-6401

Phone

(760) 969-4140

Fax

(760) 969-4179

NPI assigned

Aug 10, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Josie R Herndon

Title

Ceo

Phone

(760) 969-4147

Specialties & licenses 1

Addresses

Other names 1

• Desert Palms Recovery Doing business as

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1689921470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67580 JONES RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922346401",
            "telephone_number": "760-969-4140",
            "fax_number": "760-969-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67580 JONES RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922346401",
            "telephone_number": "760-969-4140",
            "fax_number": "760-969-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHEDRAL CITY PALMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "JOSIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-969-4147",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Palms Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Lewis Carey, PT
• Caring Rose Human Services
• Kevin Emralino Carizon, PT
• Jenny Carr, RD
• Deanne Carroll, RN
• Cathedral Congregate Living, Inc
• Analisa Ambat Cayabyab
• Mark W. Charles, PHD
• Kylee Chavez, DDS
• Yixuan Che, PT

• Substance Abuse Rehabilitation Facility in Cathedral City, CA
• Providers in Cathedral City, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.