# CANYON VIEW HESPERIA HOME, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265312011
- **Authorized official:** NICK VERMANI OWNER (CEO)
- **Authorized official phone:** (909) 548-1769

## Contact information

- **Practice address:** 16123 VINE ST, HESPERIA, CA 92345-3113
- **Practice address phone:** (928) 970-2018
- **Mailing address:** 16123 VINE ST, HESPERIA, CA 92345-3113
- **Mailing address phone:** (929) 970-2018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/03/2025
- **Last updated:** 09/03/2025