National Provider Identifier Database

VICTORY HOME HEALTH PALLIATIVE WAIVER SERVICES INC
Home Health

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.


Contact Information

VICTORY HOME HEALTH, PALLIATIVE, WAIVER SERVICES, INC,
2810 HOT SPRINGS BLVD
LAS VEGAS, NM87701-4119
Phone: 505-454-0499
Fax: 505-425-9105
Website:
Specialty Taxonomy Code
* Home Health 251E00000X

* Indicates primary specialty

NPI Profile & details for VICTORY HOME HEALTH, PALLIATIVE, WAIVER SERVICES, INC,

NPI Number 1497767321
Legal business name
LBN
VICTORY HOME HEALTH, PALLIATIVE, WAIVER SERVICES, INC,
Authorized official MARIA PADILLA - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 08/12/2006
Last updated 04/13/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 327113

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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