MEDICARE: CARE DIMENSIONS OF THE DESERT, LLC

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	:	1831535475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE DIMENSIONS OF THE DESERT, LLC

Provider Business Mailing Address
First Line	:	74130 COUNTRY CLUB DRIVE
Second Line	:	SUITE 104
City	:	PALM DESERT
State	:	CA
Zip	:	92260-1686
Country	:	US
Telephone Number	:	760-444-0699
Fax Number	:	760-444-3263

Provider Business Practice Location Address
First Line	:	74130 COUNTRY CLUB DRIVE
Second Line	:	SUITE 104
City	:	PALM DESERT
State	:	CA
Zip	:	92260-1686
Country	:	US
Telephone Number	:	760-444-0699
Fax Number	:	760-444-3263

Authorized Official
Title or Position	:	PRESIDENT-CEO/OWNER
Name	:	MR. RAMON ALAN T DE LEON
Credential	:
Telephone Number	:	760-444-0699

Provider Enumeration Date	:	05/21/2013
Last Update Date	:	07/19/2021

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