Healthcare Provider Details
I. General information
NPI: 1174667554
Provider Name (Legal Business Name): VICTORIAS HEALTH CARE,INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/17/2007
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6074 BONESS RD
HUMBLE TX
77396-1703
US
IV. Provider business mailing address
6074 BONESS RD
HUMBLE TX
77396-1703
US
V. Phone/Fax
- Phone: 281-570-6719
- Fax: 281-913-5807
- Phone: 281-570-6719
- Fax: 281-913-5807
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
PABLA
OTILIA
HERNANDEZ
Title or Position: CEO
Credential:
Phone: 281-570-6719