NPIMap

Organization Active NPI

HDMC Holdings, LLC

  • Home Health Agency
  • Joshua Tree, CA
National Provider Identifier
1962898601
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HDMC HOLDINGS, LLC
Practice address
6601 White Feather Rd Ste a-5
Joshua Tree, CA 92252-6607
Phone
(760) 366-6424
NPI assigned
Apr 9, 2015
Last updated
Mar 23, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
HDMC HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Mike King
Title
Cfo
Phone
(209) 985-3317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6601 White Feather Rd Ste a-5
Joshua Tree, CA 92252-6607

Mailing address

6601 White Feather Rd
Joshua Tree, CA 92252-6607
Phone (760) 366-6424

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150914002007 CA Part A Provider - Home Health Agency 7416260385 Practice locations: Joshua Tree, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962898601. Details of each certification follow.

Home health agency certification: CCN 057763

Legal name
HDMC HOLDINGS LLC
Doing business as
HI DESERT HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 22, 1986
Last certification
Apr 22, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 24, 2015 in DE
Enrollment address
6601 White Feather Rd
Ste a-5
Joshua Tree, CA 92252-6607

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Hi Desert Home Health ServicesCCN 057763 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Dec 22, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Hospice

Medicare Care Compare
Listed as
Hi-Desert Home Health Services-HospiceCCN 051728
Ownership
For-Profit
Certified
Mar 12, 1999
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory
Tax ID family
HDMC Holdings LLC5 organizations share this tax ID, including this one
Part of
HDMC Holdings LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6601 White Feather Rd
#A5
Joshua Tree, CA 92252
Phone (760) 366-6424

57045 Yucca Trl
Ste 101
Yucca Valley, CA 92284
Phone (760) 366-7758

57407 29 Palms Hwy
Ste Bf
Yucca Valley, CA 92284
Phone (760) 366-1541

57463 29 Palms Hwy
Ste 205206
Yucca Valley, CA 92284
Phone (760) 366-6401

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Karen Faulis Individual Corporate OfficerPresident & Treasurer Feb 22, 2016
W-2 Managing EmployeeCeo Feb 22, 2016
Tenet Healthcare Corporation Organization, Dallas, TX For-profit 5% Or Greater Indirect Ownership Interest Apr 20, 2020 100%
Sharilee Smith Individual Corporate DirectorManager of Board of Managers Mar 1, 2024
Angelo P Pagano Individual Corporate OfficerVice President Jul 1, 2024
Saumya Sutaria Individual OtherChain Home Office Administrator Sep 13, 2019
Health Services Network Hospitals, Inc. Organization, Dallas, TX For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 20, 2020 100%
Kristina a Mack Individual Corporate OfficerSecretary May 21, 2015
Tenet California Inc Organization, Dallas, TX For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 20, 2020 100%
Joshua Burkett Individual Corporate OfficerAssistant Treasurer Oct 20, 2024

Facilities with the same owner 91

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 91

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 7

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

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1962898601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 WHITE FEATHER RD",
            "city": "JOSHUA TREE",
            "state": "CA",
            "postal_code": "922526607",
            "telephone_number": "760-366-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 WHITE FEATHER RD STE A-5",
            "city": "JOSHUA TREE",
            "state": "CA",
            "postal_code": "922526607",
            "telephone_number": "760-366-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HDMC HOLDINGS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HDMC HOLDINGS, LLC",
        "enumeration_date": "2015-04-09",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "209-985-3317"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joshua Tree, CA

Sources for this page

Verify at the official NPI Registry.