Healthcare Provider Details

I. General information

NPI: 1174451397
Provider Name (Legal Business Name): VICTORIA ALBERTSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 S 217TH LN
BUCKEYE AZ
85326-6517
US

IV. Provider business mailing address

2220 S 217TH LN
BUCKEYE AZ
85326-6517
US

V. Phone/Fax

Practice location:
  • Phone: 623-640-7442
  • Fax: 602-532-7910
Mailing address:
  • Phone: 623-640-7442
  • Fax: 602-532-7910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateAZ
# 4
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: