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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 012557
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Care
- Overall star rating
- Ownership
- Proprietary
- Certified
- Sep 2, 2010
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1103150 | God Is King Home Health Inc | Certificate of waiver | Aug 3, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Mayra Pineda | W-2 Managing Employee | Feb 22, 2021 | 25% |
| Chizua Chibueze | Operational/Managerial Control | Oct 6, 2014 | 25% |
| Caroline Chibueze | 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 | 5% Or Greater Direct Ownership Interest | Jul 12, 2009 | |
| Dominic Chibueze | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.