Via Nova Stabilization & Reentry Network LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

VIA NOVA STABILIZATION & REENTRY NETWORK LLC

Practice address

11274 Fisherman LN
Victorville, CA 92392-4837

Phone

(323) 395-8594

NPI assigned

Mar 9, 2026

Organization subpart

No

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

Authorized official

Name

Kedra Creer

Title

Owner

Phone

(323) 395-8594

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1144176595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11274 FISHERMAN LN",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923924837",
            "telephone_number": "323-395-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11274 FISHERMAN LN",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923924837",
            "telephone_number": "323-395-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIA NOVA STABILIZATION & REENTRY NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-08",
        "status": "A",
        "authorized_official_last_name": "CREER",
        "authorized_official_first_name": "KEDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-395-8594"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Victorville, CA
• Providers in Victorville, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.