Organization Active NPI

Victoria Home Health Nursing Agency, Inc.

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1386647931
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VICTORIA HOME HEALTH NURSING AGENCY, INC.
Practice address
8455 Beverly Blvd
Ste 302
Los Angeles, CA 90048-3421
Phone
(323) 653-3830
Fax
(323) 653-3880
NPI assigned
May 27, 2005
Last updated
Mar 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Miss Lucia Basilio Ingente, RN
Title
Administrator Don
Phone
(323) 653-3830

Specialties & licenses 1

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

Addresses

Primary practice location

8455 Beverly Blvd
Ste 302
Los Angeles, CA 90048-3421

Mailing address

8455 Beverly Blvd
Suite 302
Los Angeles, CA 90048-3416
Phone (323) 653-3830

Other identifiers 1

IdentifierTypeStateIssuer
HHA08208FMedicaidCA

National Provider Directory

National Provider Directory

Locations

3727 W 6th St
Ste 502
Los Angeles, CA 90020
Phone (213) 234-8268

8455 Beverly Blvd
#302
Los Angeles, CA 90048
Phone (323) 653-3830

8455 Beverly Blvd
Ste 302
Los Angeles, CA 90048
Phone (323) 653-0544

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1386647931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8455 BEVERLY BLVD",
            "address_2": "SUITE 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483416",
            "telephone_number": "323-653-3830",
            "fax_number": "323-653-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8455 BEVERLY BLVD",
            "address_2": "STE 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483421",
            "telephone_number": "323-653-3830",
            "fax_number": "323-653-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA HOME HEALTH NURSING AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "INGENTE",
        "authorized_official_first_name": "LUCIA",
        "authorized_official_middle_name": "BASILIO",
        "authorized_official_title_or_position": "ADMINISTRATOR DON",
        "authorized_official_telephone_number": "323-653-3830",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08208F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.