Desert Willow Health and Rehabilitation Center LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

DESERT WILLOW HEALTH AND REHABILITATION CENTER LLC

Doing business as

Desert Willow Health and Rehabilitation Center

Practice address

2701 California St
Pueblo, CO 81004-3869

Phone

(719) 561-1300

NPI assigned

Aug 30, 2021

Organization subpart

No

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

Authorized official

Name

Zisha Margulies

Title

Ceo

Phone

(718) 942-3483

Specialties & licenses 1

Addresses

Other names 1

• DESERT WILLOW HEALTH AND REHABILITATION CENTER Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1750059440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 KNAPP ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351006",
            "telephone_number": "718-942-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 CALIFORNIA ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043869",
            "telephone_number": "719-561-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT WILLOW HEALTH AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "MARGULIES",
        "authorized_official_first_name": "ZISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-942-3483"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pcc",
            "affiliation": "N",
            "endpointDescription": "medical records",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2701 California St",
            "city": "Pueblo",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810043869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "DESERT WILLOW HEALTH AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DESERT WILLOW HEALTH AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lucas R Derting, PA-C
• Scott Alan Deruiter, M.D.
• Roberta Martha Desalvo, LPCC
• Desert Bloom Mental Health LLC
• Desert Willow Health and Rehabilitation Center LLC
• Destiny Incorporated
• Stephen Deturk, MD
• Susan Devan
• Quinn Alyse Devinney, PHARMD.
• Dylan B Devries, PA

• Respite Care in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Respite Care in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.