D' Victory Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

D' VICTORY HOSPICE CARE, INC.

Practice address

23318 Olive Wood Plaza Dr Ste G
Moreno Valley, CA 92553-5219

Phone

(951) 267-7660

Fax

(951) 220-8619

NPI assigned

Apr 21, 2021

Organization subpart

No

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

Authorized official

Name

Bernice Ivoko

Title

Ceo/President

Phone

(951) 267-7660

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1669054516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23318 OLIVE WOOD PLAZA DR STE G",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535219",
            "telephone_number": "951-267-7660",
            "fax_number": "951-220-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23318 OLIVE WOOD PLAZA DR STE G",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535219",
            "telephone_number": "951-267-7660",
            "fax_number": "951-220-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D' VICTORY HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "IVOKO",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "951-267-7660"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dvictoryhospicecare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "coordination of care",
            "address_1": "23318 Olive Wood Plaza Dr Ste G",
            "city": "Moreno Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925535219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Marisa Dagenhart
• Sonia Salim Daher, NP
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• Community Based Hospice Care Agency in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.