Healthcare Provider Details

I. General information

NPI: 1346185394
Provider Name (Legal Business Name): DESERT BLOOM HOME HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56669 TWENTYNINE PALMS HWY SUITE E
YUCCA VALLEY CA
92284-0000
US

IV. Provider business mailing address

56669 TWENTYNINE PALMS HWY SUITE E
YUCCA VALLEY CA
92284
US

V. Phone/Fax

Practice location:
  • Phone: 760-905-9560
  • Fax: 888-247-5097
Mailing address:
  • Phone: 760-905-9560
  • Fax: 888-247-5097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: PATIENCE POPE
Title or Position: DIRECTOR OF OPERATIONS
Credential: POPE
Phone: 760-905-9560