Provider Demographics
NPI:1235792391
Name:DESERT VIEW HOSPICE, INC.
Entity Type:Organization
Organization Name:DESERT VIEW HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SHEHZAD
Authorized Official - Middle Name:S
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-971-4025
Mailing Address - Street 1:15402 W SAGE ST STE 206
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92392-2355
Mailing Address - Country:US
Mailing Address - Phone:909-971-4025
Mailing Address - Fax:877-798-2300
Practice Address - Street 1:15402 W SAGE ST STE 206
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92392-2355
Practice Address - Country:US
Practice Address - Phone:909-971-4025
Practice Address - Fax:877-798-2300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-15
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based