Provider Demographics
NPI:1194576389
Name:DESERT BREEZE HOSPICE
Entity type:Organization
Organization Name:DESERT BREEZE HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPCS
Authorized Official - Prefix:
Authorized Official - First Name:AILEEN
Authorized Official - Middle Name:CABADING
Authorized Official - Last Name:BRAWNER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:323-448-8567
Mailing Address - Street 1:8290 W SAHARA AVE STE 190
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-8933
Mailing Address - Country:US
Mailing Address - Phone:323-448-8567
Mailing Address - Fax:
Practice Address - Street 1:8290 W SAHARA AVE STE 190
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-8933
Practice Address - Country:US
Practice Address - Phone:323-448-8567
Practice Address - Fax:702-920-8694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based