Healthcare Provider Details

I. General information

NPI: 1821910506
Provider Name (Legal Business Name): VICTORIA HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20421 NW 23RD CT
MIAMI GARDENS FL
33056-1522
US

IV. Provider business mailing address

20421 NW 23RD CT
MIAMI GARDENS FL
33056-1522
US

V. Phone/Fax

Practice location:
  • Phone: 786-426-8437
  • Fax:
Mailing address:
  • Phone: 786-426-8437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHARON MARK
Title or Position: OWNER
Credential:
Phone: 786-426-8437