Organization Active NPI

God Is King Home Health Inc

Doing business as Victoria Home Health Care

  • Home Health Agency
  • El Paso, TX
National Provider Identifier
1962662759
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
012557 Issued in TX
Legal business name
GOD IS KING HOME HEALTH INC
Doing business as
Victoria Home Health Care
Practice address
1005 Desierto Seco Dr
El Paso, TX 79912-1131
Phone
(915) 587-5284
NPI assigned
Jun 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Mrs. Caroline Ifeyinwa Chibueze, REGISTERED NURSE
Title
Director of Nursing
Phone
(915) 587-5284

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Home Health Agency 251E00000X 012557 TX Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

1005 Desierto Seco Dr
El Paso, TX 79912-1131

Mailing address

1005 Desierto Seco Dr
El Paso, TX 79912-1131
Phone (915) 587-5284

Other names 1

  • VICTORIA HOME HEALTH CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091214000148 TX Part A Provider - Home Health Agency 7214077874 Practice locations: El Paso, TX

Home health agency certification: CCN 747427

Legal name
GOD IS KING HOME HEALTH INC
Doing business as
VICTORIA HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 2, 2010
Last certification
Aug 8, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 29, 2008 in TX
Enrollment address
1005 Desierto Seco Dr
El Paso, TX 79912-1131

Care Compare: Home health agency

Medicare Care Compare
Listed as
Victoria Home Health CareCCN 747427 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Sep 2, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1103150God Is King Home Health Inc1005 Desierto Seco Drive, El Paso, TX 79912Certificate of waiverAug 3, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mayra Pineda Individual W-2 Managing EmployeeAlternate Administrator Feb 22, 2021 25%
Chizua Chibueze Individual Operational/Managerial ControlAlternate Director of Nurses Oct 6, 2014 25%
Caroline Chibueze Individual 5% Or Greater Direct Ownership Interest Jul 12, 2009 48%
Corporate Officer May 25, 2008
W-2 Managing Employee Jul 12, 2009
Operational/Managerial Control May 25, 2008
God Is King Home Health Inc Organization, El Paso, TX 5% Or Greater Direct Ownership Interest Jul 12, 2009
Dominic Chibueze Individual 5% Or Greater Direct Ownership Interest Jul 12, 2009 52%
Corporate Officer May 25, 2008
W-2 Managing Employee Jul 12, 2009
Operational/Managerial Control May 25, 2008

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1962662759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 DESIERTO SECO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121131",
            "telephone_number": "915-587-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 DESIERTO SECO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121131",
            "telephone_number": "915-587-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOD IS KING HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-15",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "CHIBUEZE",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "IFEYINWA",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "915-587-5284",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "012557",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VICTORIA HOME HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.