NPIMap

Organization Active NPI

Victory Home Care Corp

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1720451966
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
8058-PCS Issued in NV
Legal business name
VICTORY HOME CARE CORP
Practice address
9159 W Flamingo Rd Ste 103
Las Vegas, NV 89147-6454
Phone
(702) 265-1100
Fax
(702) 998-6219
NPI assigned
Nov 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Authorized official

Name
Tezera Haile
Title
Director
Phone
(702) 265-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 8058-PCS NV Primary

Addresses

Primary practice location

9159 W Flamingo Rd Ste 103
Las Vegas, NV 89147-6454

Mailing address

9159 W Flamingo Rd Ste 103
Las Vegas, NV 89147-6454
Phone (702) 265-1100

National Provider Directory

National Provider Directory

Locations

9159 W Flamingo Rd
Ste 103
Las Vegas, NV 89147
Phone (702) 265-1100

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1720451966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9159 W FLAMINGO RD STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476454",
            "telephone_number": "702-265-1100",
            "fax_number": "702-998-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9159 W FLAMINGO RD STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476454",
            "telephone_number": "702-265-1100",
            "fax_number": "702-998-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY HOME CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "HAILE",
        "authorized_official_first_name": "TEZERA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-265-1100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "8058-PCS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.