Organization Active NPI

Victory Nursing of South Florida

Doing business as Victory Nursing Home Health Services

  • Home Health Agency
  • Belle Glade, FL
National Provider Identifier
1821820010
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VICTORY NURSING OF SOUTH FLORIDA
Doing business as
Victory Nursing Home Health Services
Practice address
624 S Main St Ste 4
Belle Glade, FL 33430-3916
Phone
(561) 879-1013
NPI assigned
Aug 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Authorized official

Name
Dynisha Fresneda, RNNPI 1619657269
Title
Ceo
Phone
(561) 779-2284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

624 S Main St Ste 4
Belle Glade, FL 33430-3916

Mailing address

965 Wedgworth Rd
Belle Glade, FL 33430-4621
Phone (561) 897-1013

Other names 1

  • Victory Nursing Home Health Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1821820010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 WEDGWORTH RD",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334304621",
            "telephone_number": "561-897-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 S MAIN ST STE 4",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334303916",
            "telephone_number": "561-879-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY NURSING OF SOUTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "FRESNEDA",
        "authorized_official_first_name": "DYNISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-779-2284",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victory Nursing Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belle Glade, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.