WILLIAM DEMAREST CANYON COUNTRY CLUB HOUSE
NPI 1104963974
Intermediate Care Facility, Intellectual Disabilities in Palm Springs, CA
About William Demarest Canyon Country Club House NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM DEMAREST CANYON COUNTRY CLUB HOUSE (NPI 1104963974) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Palm Springs, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through August 5, 2028 and lists David C Thornton, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D1068365
Angel View, Inc · Desert Hot Springs, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Angel View Crippled Childrens Foundation Inc's NPI number?
The NPI number for Angel View Crippled Childrens Foundation Inc is 1104963974. It was assigned to this organization in the NPPES registry on January 31, 2007. The provider is doing business as William Demarest Canyon Country Club House.
Where is Angel View Crippled Childrens Foundation Inc located?
Angel View Crippled Childrens Foundation Inc is located at 3566 Eastgate Drive, Palm Springs, CA 92262. The listed phone number is (760) 329-6471.
What is Angel View Crippled Childrens Foundation Inc's specialty?
The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.
Does Angel View Crippled Childrens Foundation Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1068365) is associated with this NPI, valid through August 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Angel View Crippled Childrens Foundation Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# William Demarest Canyon Country Club House · NPI 1104963974
Intermediate Care Facility, Intellectual Disabilities organization in Palm Springs, California. Organization record, active in the CMS NPPES registry since January 31, 2007.
## Identity
- **NPI:** 1104963974 (Entity type: Organization)
- **Enumerated:** January 31, 2007
- **Primary specialty:** Intermediate Care Facility, Intellectual Disabilities · taxonomy 315P00000X
- **Legal business name:** Angel View Crippled Childrens Foundation Inc
- **Organization subpart:** No
- **Authorized official:** David Thornton, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 3566 EASTGATE DRIVE, Palm Springs, CA 92262
- **Phone:** (760) 329-6471
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid LTC60415F (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104963974) · Data from the CMS NPPES public registry.