Provider Demographics
NPI:1508483835
Name:VICTORIOUS ANGELS HOME HEALTHCARE LLC.
Entity Type:Organization
Organization Name:VICTORIOUS ANGELS HOME HEALTHCARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/C.E.O
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:N
Authorized Official - Last Name:WINSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-679-3973
Mailing Address - Street 1:252 JONATHANS WAY
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-9145
Mailing Address - Country:US
Mailing Address - Phone:757-679-3973
Mailing Address - Fax:
Practice Address - Street 1:252 JONATHANS WAY
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-9145
Practice Address - Country:US
Practice Address - Phone:757-679-3973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-02
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health