Desert Home Health Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

043141 Issued in CA

Legal business name

DESERT HOME HEALTH CARE INC.

Practice address

77810 Las Montanas Rd
Suite 202
Palm Desert, CA 92211-4116

Phone

(760) 200-8906

Fax

(760) 200-0182

NPI assigned

Dec 1, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Elizaveta Antonian

Title

Ceo/President

Phone

(760) 200-8906

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757644

Legal name

DESERT HOME HEALTH CARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 19, 2024

Last certification

Mar 8, 2024

Organization structure

CorporationProprietary

Incorporated

Jun 4, 2015 in CA

Enrollment address

13251 Gladstone Ave
Sylmar, CA 91342-3116

Listed as

Desert Home Health Care, IncCCN 757644

Ownership

-

Certified

Mar 19, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

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

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1831564913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77810 LAS MONTANAS RD.",
            "address_2": "SUITE 202",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922114139",
            "telephone_number": "760-200-8906",
            "fax_number": "760-200-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77810 LAS MONTANAS RD",
            "address_2": "SUITE 202",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922114116",
            "telephone_number": "760-200-8906",
            "fax_number": "760-200-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "ANTONIAN",
        "authorized_official_first_name": "ELIZAVETA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "760-200-8906",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "043141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.