Provider Demographics
NPI:1669895041
Name:DESERT COMMUNITY HOSPICE, INC.
Entity type:Organization
Organization Name:DESERT COMMUNITY HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANAHID
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-538-3080
Mailing Address - Street 1:13849 AMARGOSA RD STE 206
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92392-2474
Mailing Address - Country:US
Mailing Address - Phone:760-538-3080
Mailing Address - Fax:760-538-3085
Practice Address - Street 1:13849 AMARGOSA RD STE 206
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92392-2474
Practice Address - Country:US
Practice Address - Phone:760-538-3080
Practice Address - Fax:760-538-3085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-21
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based