Provider Demographics
NPI:1427666999
Name:VICTORY HOSPICE, LLC.
Entity type:Organization
Organization Name:VICTORY HOSPICE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROWELIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOY
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:480-545-0314
Mailing Address - Street 1:10210 N 32ND ST STE C202-C
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-3827
Mailing Address - Country:US
Mailing Address - Phone:480-525-0314
Mailing Address - Fax:480-525-0315
Practice Address - Street 1:10210 N 32ND ST STE C202-C
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-3827
Practice Address - Country:US
Practice Address - Phone:480-525-0314
Practice Address - Fax:480-525-0315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-21
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ031738Medicaid