MEDICARE: VICTORIAN HEALTHCARE SERVICES, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	251J00000X	Nursing Care Agency
3	253Z00000X	In Home Supportive Care Agency
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1982659488
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VICTORIAN HEALTHCARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	3502 STRATFORD MANOR DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-4609
Country	:	US
Telephone Number	:	281-302-6680
Fax Number	:	346-707-3616

Provider Business Practice Location Address
First Line	:	3502 STRATFORD MANOR DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-4609
Country	:	US
Telephone Number	:	281-903-7882
Fax Number	:	346-707-3616

Authorized Official
Title or Position	:	ADMINISTRTATOR
Name	:	REGINA BESONG-ESIM
Credential	:	LVN
Telephone Number	:	281-302-6680

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	02/21/2022

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