Healthcare Provider Details

I. General information

NPI: 1841029279
Provider Name (Legal Business Name): HOT DESERT HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2024
Last Update Date: 08/01/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41865 BOARDWALK STE 215
PALM DESERT CA
92211-9033
US

IV. Provider business mailing address

41865 BOARDWALK STE 215
PALM DESERT CA
92211-9033
US

V. Phone/Fax

Practice location:
  • Phone: 707-907-1007
  • Fax: 626-609-2353
Mailing address:
  • Phone: 707-907-1007
  • Fax: 626-609-2353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LIANA HOVHANNISYAN
Title or Position: CEO
Credential:
Phone: 707-907-1007