AVICTORIOUSCARE NPI 1780044321

NPI Information

NPI: 1780044321
Provider Name: AVICTORIOUSCARE
Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
7318 WARHOL DR
SUN VALLEY, NV
ZIP 89433
Phone: (775) 674-0442
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AVICTORIOUSCARE is a respite care in Sun Valley, NV. AVICTORIOUSCARE NPI is 1780044321. The provider is registered as an organization entity type.

The provider's business location address is:

7318 WARHOL DR
SUN VALLEY, NV
ZIP 89433-663
Phone: (775) 674-0442
Fax: (775) 674-0442

The provider's authorized official is Victoria Olayinka Olaegbe .
The authorized official title is President and has the following contact phone number (775) 674-0442.

The enumeration date for this NPI number is 2/24/2016 and was last updated on 2/24/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	385H00000X	Respite Care				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9005040884	MEDICAID	NEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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