DESERT WIND HOSPICE INC. NPI 1053955070

NPI Information

NPI: 1053955070
Provider Name: DESERT WIND HOSPICE, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2199143

Address:
14359 AMARGOSA RD STE O
VICTORVILLE, CA
ZIP 92392
Phone: (442) 255-4311
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DESERT WIND HOSPICE, INC. is a hospice care community based in Victorville, CA. DESERT WIND HOSPICE, INC. NPI is 1053955070. The provider is registered as an organization entity type.

The provider's business location address is:

14359 AMARGOSA RD STE O
VICTORVILLE, CA
ZIP 92392-385
Phone: (442) 255-4311

The provider's authorized official is William Mangangey .
The authorized official title is Ceo and has the following contact phone number (442) 255-4311.

The CLIA number assigned to this NPI record is 05D2199143 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2019 and was last updated on 11/1/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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