Victoria Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

VICTORIA HOSPICE CARE INC

Practice address

8925 S Pecos Rd # 16a-01
Henderson, NV 89074-7151

Phone

(702) 843-1333

NPI assigned

Feb 4, 2022

Last updated

Jun 1, 2022By 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

George Krboyan

Title

Ceo

Phone

(818) 822-9772

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457005837. Details of each certification follow.

• CCN 291674 Hospice · Active · Details

Hospice certification: CCN 291674

Legal name

VICTORIA HOSPICE CARE INC

Doing business as

ADVISACARE HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 8, 2024

Last certification

Mar 22, 2024

Organization structure

CorporationProprietary

Incorporated

Jan 12, 2022 in NV

Enrollment address

3471 W Oquendo Rd
Ste 202
Las Vegas, NV 89118-3156

Listed as

Victoria Hospice Care IncCCN 291674 · All quality measures

Certified

Apr 8, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Aishwarya Vyas-Lahar, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1770005662

  Contracted Managing Employee

  CMS ownership

Practitioners 1

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.

• Alok C Saxena, M.D.,

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1629099379

  Family Medicine

  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Tabreez Shiraaz Ali, D.O.

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1376799064

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1457005837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8925 S PECOS RD # 16A-01",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8925 S PECOS RD # 16A-01",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747151",
            "telephone_number": "702-843-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "KRBOYAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-822-9772"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Phillip Vicente-Aponte, DC
• Shelby Vickers
• Victor Klausner, DO, PC (Center for Occupational Health & Wellness)
• Victor M Leach DC PC (Bio-Mechanics of Las Vegas)
• Natascha Victor
• Victoria Manon Behavior Solutions LLC (Manon ABA)
• Sarah I Victoria
• Melinda Marie Victorson, APRN-CNP
• Gabrielle Vidmar
• Carol P Vielehr, PA

• Community Based Hospice Care Agency in Henderson, NV
• Providers in Henderson, NV by specialty
• Community Based Hospice Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.