Provider Demographics
NPI:1831765049
Name:DESERT COMMUNITY CARE HOSPICE, INC
Entity type:Organization
Organization Name:DESERT COMMUNITY CARE HOSPICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AIKOUI
Authorized Official - Middle Name:
Authorized Official - Last Name:OHANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-374-4676
Mailing Address - Street 1:1701 N PALM CANYON DR STE 7C
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-2958
Mailing Address - Country:US
Mailing Address - Phone:747-374-4676
Mailing Address - Fax:747-374-4677
Practice Address - Street 1:1701 N PALM CANYON DR STE 7C
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-2958
Practice Address - Country:US
Practice Address - Phone:747-374-4676
Practice Address - Fax:747-374-4677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-28
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based