Provider Demographics
NPI:1407420482
Name:DESERT SUN HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:DESERT SUN HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMVEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KBUSHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-844-1000
Mailing Address - Street 1:68457 E PALM CANYON DR STE 6
Mailing Address - Street 2:
Mailing Address - City:CATHEDRAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92234-5403
Mailing Address - Country:US
Mailing Address - Phone:760-332-5005
Mailing Address - Fax:760-332-5047
Practice Address - Street 1:68457 E PALM CANYON DR STE 6
Practice Address - Street 2:
Practice Address - City:CATHEDRAL CITY
Practice Address - State:CA
Practice Address - Zip Code:92234-5403
Practice Address - Country:US
Practice Address - Phone:760-332-5005
Practice Address - Fax:760-332-5047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health