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HIGH DESERT HOSPICE SERVICES INC. NPI 1760783476


NPI Information

NPI: 1760783476
Provider Name: HIGH DESERT HOSPICE SERVICES, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2045590

Address:
12998 HESPERIA RD
STE 202
VICTORVILLE, CA
ZIP 92395
Phone: (760) 245-8900
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HIGH DESERT HOSPICE SERVICES, INC. is a hospice care community based in Victorville, CA. HIGH DESERT HOSPICE SERVICES, INC. NPI is 1760783476. The provider is registered as an organization entity type.

The provider's business location address is:

12998 HESPERIA RD
STE 202
VICTORVILLE, CA
ZIP 92395-316
Phone: (760) 245-8900
Fax: (760) 245-8990

The provider's authorized official is Garnik Gevorgyan .
The authorized official title is Ceo and has the following contact phone number (760) 245-8900.

The CLIA number assigned to this NPI record is 05D2045590 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/11/2010 and was last updated on 11/18/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community Based550001527CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1551622MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

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

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