Victorville HHA Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550000027 Issued in CA

Legal business name

VICTORVILLE HHA SERVICES, LLC

Practice address

14075 Hesperia Rd
Suite 204B
Victorville, CA 92395-4500

Phone

(760) 241-5000

NPI assigned

Nov 3, 2006

Last updated

Oct 25, 2012By 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. Raisa Banchik

Title

Owner

Phone

(760) 241-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1558440230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14075 HESPERIA ROAD",
            "address_2": "204B",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954500",
            "telephone_number": "760-241-5000",
            "fax_number": "760-241-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14075 HESPERIA RD",
            "address_2": "SUITE 204B",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954500",
            "telephone_number": "760-241-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORVILLE HHA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "BANCHIK",
        "authorized_official_first_name": "RAISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-241-5000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS STATE LICENSE",
            "identifier": "550000027",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Valley Hospital Acquisition, Inc. (Victor Valley Global Medical Center)
• Victor Valley Union High School
• Victorville Counseling
• Victorville Dental Office of Aram Arakelyan and Alborz Mehdizadeh
• Victorville Health Care Services
• Victorville Home Health
• Victorville Home Health Agency Services, LLC
• Victorville Hospice Care
• Victorville Medical Transportation
• Victorville Openscan MRI

• 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 Oct 25, 2012; 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.