Victory Home Health, Palliative, Waiver Services, Inc,

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

327113 Issued in NM

Legal business name

VICTORY HOME HEALTH, PALLIATIVE, WAIVER SERVICES, INC,

Practice address

2810 Hot Springs Blvd
Las Vegas, NM 87701-4119

Phone

(505) 454-0499

Fax

(505) 425-9105

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 Luisa Padilla, RN

Title

Executive Director

Phone

(505) 454-0499

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1497767321",
    "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": "2810 HOT SPRINGS BLVD",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014119",
            "telephone_number": "505-454-0499",
            "fax_number": "505-425-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY HOME HEALTH, PALLIATIVE, WAIVER SERVICES, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LUISA",
        "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": "NM",
            "license": "327113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas R Vandiver, BMS
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• Marissa Teah Velasquez
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• Adrian J Vigil
• Alyassea Vigil, BMS
• Elizabeth Vigil

• Home Health Agency in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Home Health Agency in New Mexico

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