MEDICARE: VICTORIOUS HOME HEALTH CARE LIMITED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	1010973	IL

General Provider Information

NPI Number	:	1669606695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VICTORIOUS HOME HEALTH CARE LIMITED

Provider Business Mailing Address
First Line	:	414 DIXIE HWY
Second Line	:
City	:	CHICAGO HEIGHTS
State	:	IL
Zip	:	60411-1739
Country	:	US
Telephone Number	:	815-464-9201
Fax Number	:	815-464-9202

Provider Business Practice Location Address
First Line	:	414 DIXIE HWY
Second Line	:
City	:	CHICAGO HEIGHTS
State	:	IL
Zip	:	60411-1739
Country	:	US
Telephone Number	:	815-464-9201
Fax Number	:	815-464-9202

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	VIRGINIA EBIRINGAH
Credential	:	R.N
Telephone Number	:	815-464-9201

Provider Enumeration Date	:	05/05/2009
Last Update Date	:	06/09/2025

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