Provider Demographics
NPI:1831564913
Name:DESERT HOME HEALTH CARE INC.
Entity type:Organization
Organization Name:DESERT HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZAVETA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTONIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-200-8906
Mailing Address - Street 1:77810 LAS MONTANAS RD.
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-4139
Mailing Address - Country:US
Mailing Address - Phone:760-200-8906
Mailing Address - Fax:760-200-0182
Practice Address - Street 1:77810 LAS MONTANAS RD
Practice Address - Street 2:SUITE 202
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-4116
Practice Address - Country:US
Practice Address - Phone:760-200-8906
Practice Address - Fax:760-200-0182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-01
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA043141251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health