Provider Demographics
NPI:1740287697
Name:DESERT HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:DESERT HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:EMMA MAY
Authorized Official - Middle Name:SANTIAGO
Authorized Official - Last Name:COWSER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:760-318-9006
Mailing Address - Street 1:440 S EL CIELO RD STE 8
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-7928
Mailing Address - Country:US
Mailing Address - Phone:760-318-9006
Mailing Address - Fax:760-318-3949
Practice Address - Street 1:440 S EL CIELO RD STE 8
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-7928
Practice Address - Country:US
Practice Address - Phone:760-318-9006
Practice Address - Fax:760-318-3949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA250000781251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA058150Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER