Organization Active NPI

High Desert Angels Inc

  • In Home Supportive Care Agency
  • Victorville, CA
National Provider Identifier
1982168498
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HIGH DESERT ANGELS INC
Practice address
15402 W Sage St Ste 204
Victorville, CA 92392-2355
Phone
(760) 962-1470
NPI assigned
Jan 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Authorized official

Name
Mrs. Carmen Julia West
Title
Director /Ceo
Phone
(760) 962-1470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

15402 W Sage St Ste 204
Victorville, CA 92392-2355

Mailing address

15402 W Sage St Ste 204
Victorville, CA 92392-2355
Phone (760) 962-1470

Other names 1

  • Visiting Angels Doing business as

National Provider Directory

National Provider Directory

Locations

15402 W Sage St
Ste 204
Victorville, CA 92392
Phone (760) 962-1470

NPI Registry JSON

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1982168498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15402 W SAGE ST STE 204",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922355",
            "telephone_number": "760-962-1470",
            "fax_number": "760-657-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15402 W SAGE ST STE 204",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922355",
            "telephone_number": "760-962-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT ANGELS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "JULIA",
        "authorized_official_title_or_position": "DIRECTOR /CEO",
        "authorized_official_telephone_number": "760-962-1470",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.