HDMC Holdings, LLC
Organization Active NPI Home Health Agency · Joshua Tree, CA
NPI 1962898601 · NPPES record last updated Mar 23, 2022
Key facts
- NPI
- 1962898601
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 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
- Organization subpart
- Yes
- Parent organization (as reported)
- HDMC HOLDINGS, LLC
Authorized official
- Name
- Mike King
- Title
- Cfo
- Phone
- (209) 985-3317
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 4
Facilities with the same owner 91
Practitioners 1
-
Brittany Gulling, PT, DPT
Affiliated clinicians 7
-
Jack Cruikshank, MD
-
Dae Yong Kim, MD
-
Howard Phillip Levy, D.O.
-
Elizabeth Gay Manley, NURSE PRACTITIONER
-
Prem P Salhotra, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Hi Desert Home Health Services
- Overall star rating
- ★★★★☆ 3.5 of 5
- Ownership
- Proprietary
- Certified
- Dec 22, 1986
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare Care Compare: Hospice
- Listed as
- Hi-Desert Home Health Services-Hospice
- Ownership
- For-Profit
- Certified
- Mar 12, 1999
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
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
- LLC · Proprietary
- Incorporated
- Mar 24, 2015 in DE
- Enrollment address
- 6601 White Feather Rd
Ste a-5
Joshua Tree, CA 92252-6607
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Karen Faulis |
Corporate Officer |
Feb 22, 2016 | |
| W-2 Managing Employee |
Feb 22, 2016 | ||
| Tenet Healthcare Corporation |
5% Or Greater Indirect Ownership Interest | Apr 20, 2020 | 100% |
| Sharilee Smith |
Corporate Director |
Mar 1, 2024 | |
| Angelo P Pagano |
Corporate Officer |
Jul 1, 2024 | |
| Saumya Sutaria |
Other |
Sep 13, 2019 | |
| Health Services Network Hospitals, Inc. |
5% Or Greater Indirect Ownership Interest | Apr 20, 2020 | 100% |
| Kristina a Mack |
Corporate Officer |
May 21, 2015 | |
| Tenet California Inc |
5% Or Greater Direct Ownership Interest | Apr 20, 2020 | 100% |
| Joshua Burkett |
Corporate Officer |
Oct 20, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150914002007 | CA | Part a Provider - Home Health Agency | 7416260385 | Practice locations: Joshua Tree, CA |
National Provider Directory
- Tax ID family
- HDMC Holdings LLC
- Part of
- HDMC Holdings LLC
Locations
6601 White Feather Rd
Ste A5
Joshua Tree, CA 92252
Phone (760) 336-6424
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 MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
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
Other providers in Joshua Tree, CA
- Sung Phill Han
- HDMC Holdings, LLC
- HDMC Holdings, LLC
- HDMC Holdings, LLC
- HDMC Holdings, LLC
- Lauren Henderson
- Hi-Desert Emergency Physicians, Inc.
- Hi-Desert Medical Center
- Hi-Desert Medical Center Anesthesiology Group
- Lovely Chiffon Hodge
All providers in Joshua Tree, CA · Home Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.