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NPI Code Detail

MEDICARE: DESERT SUN HOME HEALTH CARE INC

MEDICARE: DESERT SUN HOME HEALTH CARE INC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1407420482
Entity Type Code : Organization
Provider Name (Legal Business Name) : DESERT SUN HOME HEALTH CARE INC
Provider Business Mailing Address
First Line : 68457 E PALM CANYON DR STE 6
Second Line :
City : CATHEDRAL CITY
State : CA
Zip : 92234-5403
Country : US
Telephone Number : 760-332-5005
Fax Number : 760-332-5047
Provider Business Practice Location Address
First Line : 68457 E PALM CANYON DR STE 6
Second Line :
City : CATHEDRAL CITY
State : CA
Zip : 92234-5403
Country : US
Telephone Number : 760-332-5005
Fax Number : 760-332-5047
Authorized Official
Title or Position : OWNER/CEO
Name : MR. SAMVEL KBUSHYAN
Credential :
Telephone Number : 323-844-1000
Provider Enumeration Date : 05/14/2021
Last Update Date : 05/14/2021

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Directions to “DESERT SUN HOME HEALTH CARE INC ” Practice Location

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