Victory Home Health, Palliative, Waiver Services, Inc,

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

067458 Issued in CO

Legal business name

VICTORY HOME HEALTH, PALLIATIVE, WAIVER SERVICES, INC,

Practice address

416 State St Ste 62
Trinidad, CO 81082-2402

Phone

(719) 845-1166

Fax

(505) 454-0499

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Maria L Padilla, RN

Title

Executive Director

Phone

(505) 454-0499

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1295747780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 HOT SPRINGS BLVD",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014119",
            "telephone_number": "505-454-0499",
            "fax_number": "505-425-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 STATE ST STE 62",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822402",
            "telephone_number": "719-845-1166",
            "fax_number": "505-454-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY HOME HEALTH, PALLIATIVE, WAIVER SERVICES, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-454-0499",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "067458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Trinidad, CO
• Providers in Trinidad, CO by specialty
• Home Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.