Victory Home Health Agency

LBN: Victory Home Health Agency
Victory Home Health Agency is an health care organization with primary practice located at 24490 Sunnymead Blvd Ste 108 , Moreno Valley CA 92553-7762. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Victory Home Health Agency can be contacted via phone (951) 924-5114, or through Azonobi, Jecinta Nkeiruka via phone (951) 924-5114.

Contact Information

Primary practice address
24490 Sunnymead Blvd Ste 108 Moreno Valley CA 92553-7762
Phone: (951) 924-5114
Fax: (951) 924-5182
Website:
Map and Directions
Authorized official contact:
Name: Azonobi, Jecinta Nkeiruka Licensed Visiting Nurse (LVN)
Phone: (951) 924-5114

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X California

Profile Details

NPI number 1164589321
LBN Legal business name Victory Home Health Agency
DBA Doing business as
Authorized official Azonobi, Jecinta Nkeiruka Licensed Visiting Nurse (LVN)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164589321 NPPES
California MEDICAID HHA08190F

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