Provider Demographics
NPI:1508318643
Name:DESERT HEALTH CARE FACILITIES, INC.
Entity Type:Organization
Organization Name:DESERT HEALTH CARE FACILITIES, INC.
Other - Org Name:HIGHLAND INN OF FALLON
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF OEPRATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DANE
Authorized Official - Middle Name:M
Authorized Official - Last Name:JENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:503-805-2806
Mailing Address - Street 1:550 N SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:FALLON
Mailing Address - State:NV
Mailing Address - Zip Code:89406-3488
Mailing Address - Country:US
Mailing Address - Phone:775-423-7800
Mailing Address - Fax:775-423-7845
Practice Address - Street 1:550 N SHERMAN ST
Practice Address - Street 2:
Practice Address - City:FALLON
Practice Address - State:NV
Practice Address - Zip Code:89406-3488
Practice Address - Country:US
Practice Address - Phone:775-423-7800
Practice Address - Fax:775-423-7845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5653AGC-10310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility