VICTORY CARE HOSPICE (NPI# 1962012401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962012401 |
Entity Type | Organization |
Organization Name | VICTORY CARE HOSPICE |
Practice Address |
1254 S Waterman Ave Ste 54 San Bernardino CA 92408-2859 |
Practice Telephone | 9095217988 |
Practice Fax Number | 9093637433 |
Enumeration Date | 2020-08-07 |
Last Update Date | 2020-08-07 |
Authorized Official Name | LATEISHA MCDONALD (CEO) |
Authorized Official Telephone | 9095217988 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | Agencies |
Street Address |
1254 S WATERMAN AVE STE 54 |
City | SAN BERNARDINO |
State | CA |
Zip Code | 92408-2859 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073124681 | Valeria Armentilla Cecena | Student in an Organized Health Care Education/Training Program | 1950 Sunwest Ln., San Bernardino, CA 92408 | 2020-08-17 |
1588272066 | Horizon Therapy Services | Physical Therapist | 418 East Vanderbilt, San Bernardino, CA 92408 | 2020-07-21 |
1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
1922648104 | Infinite Hope Hospice Corp | Hospice Care, Community Based | 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 | 2020-01-15 |
1689210775 | Inland Empire Community Outreach Center | Counselor | 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2019-11-23 |
1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
1366084360 | Theraville Counseling Services, A Licensed Clinical Social Worker Corp | Social Worker | 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 | 2019-10-10 |
1548730419 | Adriana Alcaraz | Behavior Technician | 473 E Carnegie, Ste 200, San Bernardino, CA 92408 | 2018-12-04 |
1811467889 | Xavier J Molina-williams | Behavior Technician | 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 | 2018-12-03 |
1780153148 | Gillian Washington | Behavior Technician | 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 | 2018-11-15 |
Find all providers in zip 92408 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851991582 | Hospice of The Light | Hospice Care, Community Based | 435 Orange Show Ln Ste 200, San Bernardino, CA 92408-2031 | 2020-10-30 |
1699382267 | Juno Healthcare Inc | Hospice Care, Community Based | 621 Carnegie Dr Ste 190, San Bernardino, CA 92408-3511 | 2020-09-28 |
1043826811 | Aviva Hospice, Inc. | Hospice Care, Community Based | 255 N D St Ste 219, San Bernardino, CA 92401-1713 | 2020-09-17 |
1649885468 | Eagles Wings Hospice, LLC | Hospice Care, Community Based | 255 N. D Street, Suite 200-xix, San Bernardino, CA 92401 | 2020-09-09 |
1205440294 | Agape Hospice Inc | Hospice Care, Community Based | 1264 S Waterman Ave Ste 46, San Bernardino, CA 92408-2851 | 2020-09-07 |
1366051260 | Amaya Hospice, Inc. | Hospice Care, Community Based | 435 Orange Show Ln Ste 106, San Bernardino, CA 92408-2015 | 2020-07-27 |
1730798836 | All Lives Matter Hospice | Hospice Care, Community Based | 1254 S Waterman Ave Ste 45, San Bernardino, CA 92408-2858 | 2020-07-24 |
1669096376 | Alb Hospice Care Inc | Hospice Care, Community Based | 1274 S Waterman Ave Ste 122, San Bernardino, CA 92408-2826 | 2020-05-29 |
1679196232 | Bright Horizon Hospice Corporation | Hospice Care, Community Based | 225 W Hospitality Ln Ste 304, San Bernardino, CA 92408-3221 | 2020-05-18 |
1922648104 | Infinite Hope Hospice Corp | Hospice Care, Community Based | 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 | 2020-01-15 |
Find all providers in SAN BERNARDINO |
City | SAN BERNARDINO |
Zip Code | 92408 |
Please comment or provide details below to improve the information on VICTORY CARE HOSPICE.
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.