Organization Active NPI

Victory Home Health Care, Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1194904300
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550001045 Issued in CA
Legal business name
VICTORY HOME HEALTH CARE, INC.
Practice address
1604 Victory Blvd
Glendale, CA 91201-2915
Phone
(818) 247-2099
Fax
(818) 247-2094
NPI assigned
Oct 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Elizaveta Antonian
Title
Ceo
Phone
(818) 247-2099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550001045 CA Primary

Addresses

Primary practice location

1604 Victory Blvd
Glendale, CA 91201-2915

Mailing address

1604 Victory Blvd
Glendale, CA 91201-2915
Phone (818) 247-2099

National Provider Directory

National Provider Directory

Locations

1604 Victory Blvd
Glendale, CA 91201
Phone (818) 240-4353

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1194904300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 VICTORY BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012915",
            "telephone_number": "818-247-2099",
            "fax_number": "818-247-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 VICTORY BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012915",
            "telephone_number": "818-247-2099",
            "fax_number": "818-247-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "ANTONIAN",
        "authorized_official_first_name": "ELIZAVETA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-247-2099"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550001045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.