Healthcare Provider Details

I. General information

NPI: 1427666999
Provider Name (Legal Business Name): VICTORY HOSPICE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2020
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1533 N ALMA SCHOOL RD STE 14
MESA AZ
85201-2451
US

IV. Provider business mailing address

1533 N ALMA SCHOOL RD STE 14
MESA AZ
85201-2451
US

V. Phone/Fax

Practice location:
  • Phone: 480-525-0314
  • Fax: 480-525-0315
Mailing address:
  • Phone: 480-525-0314
  • Fax: 480-525-0315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier031738
Identifier TypeMEDICAID
Identifier StateAZ
Identifier Issuer

VIII. Authorized Official

Name: NICCOLE ARMAOLEA
Title or Position: ADMINISTRATOR
Credential: MBA
Phone: 480-525-0314