Vincent Victoria Village

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

143865 Issued in TX

Legal business name

VINCENT VICTORIA VILLAGE

Practice address

4607 E California Pkwy
Forest Hill, TX 76119-7571

Phone

(817) 247-8259

Fax

(817) 536-0177

NPI assigned

Apr 24, 2017

Last updated

Apr 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rhoda Salvador

Title

Administrator

Phone

(817) 247-8259

Specialties & licenses 1

Addresses

Other names 1

• healthcore systems management llc Other name

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1417482852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 E CALIFORNIA PKWY",
            "city": "FOREST HILL",
            "state": "TX",
            "postal_code": "761197571",
            "telephone_number": "817-247-8259",
            "fax_number": "817-536-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 E CALIFORNIA PKWY",
            "city": "FOREST HILL",
            "state": "TX",
            "postal_code": "761197571",
            "telephone_number": "817-247-8259",
            "fax_number": "817-536-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT VICTORIA VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "SALVADOR",
        "authorized_official_first_name": "RHODA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-247-8259",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "143865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "healthcore systems management llc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Forest Hill, TX
• Providers in Forest Hill, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.