Provider Demographics
NPI:1184708349
Name:VICTORY CARE HOME HEALTH, INC
Entity type:Organization
Organization Name:VICTORY CARE HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSES
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:MUTHONI
Authorized Official - Last Name:THUKU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-295-7072
Mailing Address - Street 1:706 ASHCREST CT
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-8632
Mailing Address - Country:US
Mailing Address - Phone:214-295-7072
Mailing Address - Fax:
Practice Address - Street 1:706 ASHCREST CT
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-8632
Practice Address - Country:US
Practice Address - Phone:214-295-7072
Practice Address - Fax:214-295-5119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health