Calstro Hospice High Desert Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CALSTRO HOSPICE HIGH DESERT INC

Practice address

14455 Park Ave Ste a
Victorville, CA 92392-2344

Phone

(760) 974-0025

Fax

(760) 553-9722

NPI assigned

Nov 11, 2020

Organization subpart

No

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

Authorized official

Name

Robert Deville

Title

Administrator

Phone

(760) 643-6250

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1902408222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14455 PARK AVE STE A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922344",
            "telephone_number": "760-974-0025",
            "fax_number": "760-553-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14455 PARK AVE STE A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922344",
            "telephone_number": "760-974-0025",
            "fax_number": "760-553-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALSTRO HOSPICE HIGH DESERT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "DEVILLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "760-643-6250"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David S. Calhoun
• Marcelino S Calimlim Jr., M.D.
• Angela Allison Caliri-Saucedo
• Mark Callahan, LMFT
• Jessica M Calles, ATC
• Zachary Edward Calvert
• Gloria J Calvillo
• Lakisha Calvin
• Isela Ruby Camacho
• Cindy Camano

• Community Based Hospice Care Agency in Victorville, CA
• Providers in Victorville, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.

Verify at the official NPI Registry.