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VINCENT VICTORIA VILLAGE NPI 1417482852


NPI Information

NPI: 1417482852
Provider Name: VINCENT VICTORIA VILLAGE

Other Name: HEALTHCORE SYSTEMS MANAGEMENT LLC

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 45D2248496

Address:
4607 E CALIFORNIA PKWY
FOREST HILL, TX
ZIP 76119
Phone: (817) 247-8259
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VINCENT VICTORIA VILLAGE is an assisted living facility in Forest Hill, TX. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. VINCENT VICTORIA VILLAGE NPI is 1417482852. The provider is registered as an organization entity type.
The provider Other Name Is Healthcore Systems Management Llc.

The provider's business location address is:

4607 E CALIFORNIA PKWY
FOREST HILL, TX
ZIP 76119-571
Phone: (817) 247-8259
Fax: (817) 536-0177

The provider's authorized official is Rhoda Salvador .
The authorized official title is Administrator and has the following contact phone number (817) 247-8259.

The CLIA number assigned to this NPI record is 45D2248496 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/24/2017 and was last updated on 4/24/2017.


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
1310400000XAssisted Living Facility143865TEXASYes

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: 5/5/2024

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