Provider Demographics
NPI:1104215920
Name:DESERT CARE ENTERPRISES LLC
Entity Type:Organization
Organization Name:DESERT CARE ENTERPRISES LLC
Other - Org Name:DESERT CARE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:ITCHON
Authorized Official - Last Name:CAMUA
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:760-799-5464
Mailing Address - Street 1:555 S SUNRISE WAY STE 213
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92264-7869
Mailing Address - Country:US
Mailing Address - Phone:760-318-0668
Mailing Address - Fax:760-318-0745
Practice Address - Street 1:555 S SUNRISE WAY STE 213
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92264-7869
Practice Address - Country:US
Practice Address - Phone:760-318-0668
Practice Address - Fax:760-318-0745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-16
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based