Healthcare Provider Details

I. General information

NPI: 1396695219
Provider Name (Legal Business Name): DESERT SAGE HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2026
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56524 ANTELOPE TRL
YUCCA VALLEY CA
92284-2808
US

IV. Provider business mailing address

56524 ANTELOPE TRL
YUCCA VALLEY CA
92284-2808
US

V. Phone/Fax

Practice location:
  • Phone: 949-620-1650
  • Fax:
Mailing address:
  • Phone: 949-620-1650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. ADAM CORTLAND GREEN
Title or Position: OWNER
Credential:
Phone: 949-397-0659