NPIMap

Organization Active NPI

Care Dimensions of the Desert, LLC

  • Home Health Agency
  • Palm Desert, CA
National Provider Identifier
1831535475
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARE DIMENSIONS OF THE DESERT, LLC
Practice address
74130 Country Club Drive
Suite 104
Palm Desert, CA 92260-1686
Phone
(760) 444-0699
Fax
(760) 444-3263
NPI assigned
May 21, 2013
Last updated
Jul 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Authorized official

Name
Mr. Ramon Alan T De Leon
Title
President-Ceo/Owner
Phone
(760) 444-0699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

74130 Country Club Drive
Suite 104
Palm Desert, CA 92260-1686

Mailing address

74130 Country Club Drive
Suite 104
Palm Desert, CA 92260-1686
Phone (760) 444-0699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140925000636 CA Part A Provider - Home Health Agency 5698995603 Practice locations: Palm Desert, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831535475. Details of each certification follow.

Home health agency certification: CCN 059697

Legal name
CARE DIMENSIONS OF THE DESERT LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 16, 2015
Last certification
Nov 17, 2017
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 15, 2013 in CA
Enrollment address
74130 Country Club Dr
Ste 104
Palm Desert, CA 92260-1687
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Care Dimensions of the DesertCCN 059697 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Mar 16, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2091099Care Dimensions of the Desert, LLC74130 Country Club Dr Ste 104, Palm Desert, CA 92260Certificate of waiverFeb 4, 2027

National Provider Directory

National Provider Directory

Locations

74130 Country Club Dr
Ste 104
Palm Desert, CA 92260
Phone (760) 444-0699

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Maria Amabel N de Leon Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2018 50%
Corporate OfficerVice-President/Coo Oct 1, 2018 50%
W-2 Managing Employee Oct 1, 2018 10%
Ramon Alan T de Leon Individual 5% Or Greater Direct Ownership Interest Oct 1, 2018 50%
Corporate OfficerPresident/Ceo Oct 1, 2018 50%
W-2 Managing EmployeePresident/Ceo Occupational Thera Oct 1, 2018 10%

Practitioners & affiliated clinicians

Affiliated clinicians 16

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1831535475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74130 COUNTRY CLUB DRIVE",
            "address_2": "SUITE 104",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601686",
            "telephone_number": "760-444-0699",
            "fax_number": "760-444-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74130 COUNTRY CLUB DRIVE",
            "address_2": "SUITE 104",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601686",
            "telephone_number": "760-444-0699",
            "fax_number": "760-444-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE DIMENSIONS OF THE DESERT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "RAMON ALAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT-CEO/OWNER",
        "authorized_official_telephone_number": "760-444-0699",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.