Dba: Victory Home Care Agency

LBN: Villaraza Corporation
Dba: Victory Home Care Agency is an health care organization with primary practice located at 1212 N Spencer Suite 1, Mesa AZ 85203-4347. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Villaraza Corporation can be contacted via phone (480) 726-6553, or through Ward, Eva Lorane Tejada via phone (480) 726-6553.

Contact Information

Primary practice address
1212 N Spencer Suite 1 Mesa AZ 85203-4347
Phone: (480) 726-6553
Fax: (480) 726-3329
Website:
Map and Directions
Authorized official contact:
Name: Ward, Eva Lorane Tejada Registered Nurse (RN)
Phone: (480) 726-6553

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X HHA 3549 Arizona

Profile Details

NPI number 1972505881
LBN Legal business name Villaraza Corporation
DBA Doing business as Dba: Victory Home Care Agency
Authorized official Ward, Eva Lorane Tejada Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2005
Last updated Apr 2nd, 2012 - about 13 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 1972505881 NPPES
Arizona Other HHA 3549 STATE LICENSE NUMBER

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