VICTORY HOSPICE, LLC. (NPI# 1427666999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427666999 |
| Entity Type | Organization |
| Organization Name | VICTORY HOSPICE, LLC. |
| Practice Address |
1209 N. Country Club Dr. Ste 3 Mesa AZ 85201 |
| Practice Telephone | 4802298298 |
| Practice Fax Number | 8885090063 |
| Mailing Telephone | 4802298298 |
| Mailing Fax Number | 8885090063 |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |
| Authorized Official Name | ROWELIZA MARTIN (ADMINISTRATOR) |
| Authorized Official Telephone | 4802298298 |
| Authorized Official Credential | MHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Street Address |
1209 N. COUNTRY CLUB DR. STE 3 |
| City | MESA |
| State | AZ |
| Zip Code | 85201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1447878285 | Bethell Hospice, LLC | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 2, Mesa, AZ 85201 | 2020-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| 1841633641 | Aris Mosley | Psychiatry & Neurology | 570 W. Brown Rd., Mesa, AZ 85201 | 2013-04-10 |
| Find all providers in zip 85201 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1174144174 | Quivira Healthcare LLC | Hospice Care, Community Based | 1910 S Stapley Dr Ste 221-249, Mesa, AZ 85204-6674 | 2020-04-30 |
| 1285266817 | Four Star Home Health and Hospice Care, Inc. | Hospice Care, Community Based | 2222 S Dobson Rd Ste 103a, Mesa, AZ 85202-6481 | 2020-02-11 |
| 1487290656 | Pch Usa, LLC | Hospice Care, Community Based | 2919 S Ellsworth Rd Ste 129, Mesa, AZ 85212-2167 | 2019-11-22 |
| 1336781640 | Noble Care Services LLC | Hospice Care, Community Based | 3707 E Southern Ave Ste 2017, Mesa, AZ 85206-6213 | 2019-10-09 |
| 1770137903 | Amber Hospice LLC | Hospice Care, Community Based | 1533 N Alma School Rd Ste 4b, Mesa, AZ 85201-2451 | 2019-07-25 |
| 1811549488 | Golden Care Hospice, LLC. | Hospice Care, Community Based | 1533 N. Alma School Rd., Ste 4a, Mesa, AZ 85201-2451 | 2019-07-12 |
| 1801384672 | New Life Hospice LLC | Hospice Care, Community Based | 1533 N Alma School Rd Ste 3, Mesa, AZ 85201-2451 | 2018-04-27 |
| 1851726236 | Serenity Acres Hospice and Palliative Care Services, Inc | Hospice Care, Community Based | 1555 E University Dr, Suite 3, Mesa, AZ 85203-8143 | 2013-09-04 |
| 1376986463 | Hospice At Home of Arizona, LLC | Hospice Care, Community Based | 1423 S Higley Rd Ste 121, Mesa, AZ 85206-3450 | 2013-04-09 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.