NPIMap

Organization Active NPI

Victorian Homes Adult Care LLC.

  • Community/Behavioral Health Agency
  • Tempe, AZ
National Provider Identifier
1063100949
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VICTORIAN HOMES ADULT CARE LLC.
Practice address
3110 S Rural Rd Ste 104
Tempe, AZ 85282-3869
Phone
(480) 590-5644
NPI assigned
Apr 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Constance Victoria BoltonNPI 1730688078
Title
Administrator
Phone
(602) 892-0633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

3110 S Rural Rd Ste 104
Tempe, AZ 85282-3869

Mailing address

1204 E Baseline Rd Ste 205
Tempe, AZ 85283-1453
Phone (602) 892-0633

National Provider Directory

National Provider Directory

Locations

3110 S Rural Rd
Ste 104
Tempe, AZ 85282
Phone (480) 590-5644

1204 E Baseline Rd
Ste 205
Tempe, AZ 85283

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1063100949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 E BASELINE RD STE 205",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831453",
            "telephone_number": "602-892-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 S RURAL RD STE 104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823869",
            "telephone_number": "480-590-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIAN HOMES ADULT CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-892-0633"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.