MEDICARE: JOSHUA TREE HEALTHCARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1063828234
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSHUA TREE HEALTHCARE, INC.

Provider Business Mailing Address
First Line	:	75410 GERALD FORD DR STE 200
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92211-3501
Country	:	US
Telephone Number	:	951-397-4766
Fax Number	:

Provider Business Practice Location Address
First Line	:	75410 GERALD FORD DR STE 200
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92211-3501
Country	:	US
Telephone Number	:	951-397-4766
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	AMBER L TUELLER
Credential	:
Telephone Number	:	208-207-2726

Provider Enumeration Date	:	07/08/2014
Last Update Date	:	06/19/2025

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