Victorville Home Health Agency Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VICTORVILLE HOME HEALTH AGENCY SERVICES, LLC

Practice address

14074 Hesperia Rd
Suite 204B
Victorville, CA 92395-4510

Phone

(760) 241-5000

NPI assigned

Jun 18, 2006

Last updated

Aug 22, 2020By 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

Ms. Ashot Gevorgyan

Title

Ceo

Phone

(760) 241-5000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427093905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14074 HESPERIA RD",
            "address_2": "SUITE 204B",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954510",
            "telephone_number": "760-241-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14074 HESPERIA RD",
            "address_2": "SUITE 204B",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954510",
            "telephone_number": "760-241-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORVILLE HOME HEALTH AGENCY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEVORGYAN",
        "authorized_official_first_name": "ASHOT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-241-5000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Victorville, CA
• Providers in Victorville, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.