Provider Demographics
NPI:1114350063
Name:DESERT HOPE HEALTHCARE, INC.
Entity Type:Organization
Organization Name:DESERT HOPE HEALTHCARE, INC.
Other - Org Name:DESERT HOPE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAY
Authorized Official - Middle Name:
Authorized Official - Last Name:COON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-238-3274
Mailing Address - Street 1:41865 BOARDWALK
Mailing Address - Street 2:SUITE 112
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-9026
Mailing Address - Country:US
Mailing Address - Phone:760-238-3274
Mailing Address - Fax:
Practice Address - Street 1:41865 BOARDWALK
Practice Address - Street 2:SUITE 112
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-9026
Practice Address - Country:US
Practice Address - Phone:760-238-3274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-14
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based