CHARTER HIGH DESERT HEALTH CARE GROUP LLC NPI 1417220989

NPI Information

NPI: 1417220989
Provider Name: CHARTER HIGH DESERT HEALTH CARE GROUP, LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2046099

Address:
19015 TOWN CENTER DR
SUITE 104
APPLE VALLEY, CA
ZIP 92308
Phone: (760) 247-1161
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CHARTER HIGH DESERT HEALTH CARE GROUP, LLC is a hospice care community based in Apple Valley, CA. CHARTER HIGH DESERT HEALTH CARE GROUP, LLC NPI is 1417220989. The provider is registered as an organization entity type.

The provider's business location address is:

19015 TOWN CENTER DR
SUITE 104
APPLE VALLEY, CA
ZIP 92308-943
Phone: (760) 247-1161

The provider's authorized official is Fred B Frank .
The authorized official title is Vice President and has the following contact phone number (909) 825-2969.

The CLIA number assigned to this NPI record is 05D2046099 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2012 and was last updated on 2/14/2012.

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: 5/5/2024

NPI Synchronization or Removal

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