# CP HIGH DESERT S-CA HH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Providence at Home with Compassus Home Health, High Desert
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174345300
- **Authorized official:** TERRI WARREN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (310) 480-2982

## Contact information

- **Practice address:** 17051 MAIN ST, HESPERIA, CA 92345-6055
- **Practice address phone:** (760) 956-4119
- **Mailing address:** 17051 MAIN ST, HESPERIA, CA 92345-6055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/29/2024
- **Last updated:** 10/29/2024