Healthcare Provider Details

I. General information

NPI: 1871353201
Provider Name (Legal Business Name): DESERT VALLEY HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2024
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 E CAMELBACK RD # 778
PHOENIX AZ
85016-4288
US

IV. Provider business mailing address

2415 E CAMELBACK RD # 778
PHOENIX AZ
85016-4288
US

V. Phone/Fax

Practice location:
  • Phone: 602-885-7192
  • Fax:
Mailing address:
  • Phone: 602-885-7192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MITCHELL ADAM BRODSKY
Title or Position: PRESIDENT
Credential:
Phone: 480-569-2740