VICTORY HOME HEALTH AGENCY
NPI 1164589321
Home Health in Moreno Valley, CA

Q: What is Victory Home Health Agency's NPI number?

The NPI number for Victory Home Health Agency is 1164589321. It was assigned to this organization in the NPPES registry on January 3, 2007.

Q: What is Victory Home Health Agency's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Q: What quality rating does Victory Home Health Agency have?

CMS rates Victory Home Health Agency 2 out of 5 stars for quality of patient care on Care Compare. The full measure detail is in the Home Health Quality Ratings section above.

Active since January 03, 2007CLIA 05D1031398 · Waiver

2/5

Patient Care Rating

24490 SUNNYMEAD BLVD STE 108, MORENO VALLEY, CA 92553(951) 924-5114(951) 924-5182 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Victory Home Health Agency NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTORY HOME HEALTH AGENCY (NPI 1164589321) is a healthcare organization registered as a home health in Moreno Valley, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through September 28, 2026 and lists Jecinta Nkeiruka Azonobi, Assistant Administrator, as its authorized official.

NPPES Registry Identity

NPI1164589321

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameVICTORY HOME HEALTH AGENCY

Location Address24490 SUNNYMEAD BLVD STE 108Moreno Valley, CA 92553-7762

Mailing Address24490 Sunnymead Blvd Ste 108Moreno Valley, CA 92553-7762 · (951) 924-5114 · Fax (951) 924-5182

Phone(951) 924-5114

Fax(951) 924-5182

Organization SubpartNo

Authorized OfficialJecinta Nkeiruka AzonobiAssistant Administrator · (951) 924-5114

Enumeration DateJanuary 3, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1164589321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

24490 SUNNYMEAD BLVD STE 108, Moreno Valley, CA 92553

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Other Identifiers 1

MedicaidHHA08190FCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1031398

Victory Home Health Agency · Moreno Valley, CA

Active · expires Sep 28, 2026

CLIA Number05D1031398

Laboratory TypeHome Health Agency

Certificate Effective DateSeptember 29, 2024

Certificate Expiration DateSeptember 28, 2026

Laboratory DirectorAdnan Misellati

Laboratory Phone(951) 924-5114

Laboratory LocationVictory Home Health Agency23318 Olivewood Plaza Dr, Ste G, Moreno Valley, CA 92553

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Victory Home Health Agency (CMS certification number 058190), from CMS Care Compare.

Victory Home Health Agency

Home health agency · Moreno Valley, CA

2/5 Quality of Patient Care

OwnershipNonProfit

CMS Certification Number058190

Medicare-Certified SinceAugust 20, 2003

Phone(951) 924-5114

Services Offered

Skilled nursing care Physical therapy Occupational therapy Speech-language pathology Medical social services Home health aide services

Patient Care Measures

Patients whose home health care began in a timely manner

96.3%

Patients who got better at walking or moving around

51%

Patients who got better at getting in and out of bed

60.4%

Patients who got better at bathing

22.9%

Patients whose breathing improved

64.9%

Patients who got better at taking their drugs correctly by mouth

53.9%

Patients checked for a flu shot for the current season

95%

Physician-recommended actions on medication issues completed on time

100%

Patients with a functional assessment and care plan at admission and discharge

100%

Patients experiencing one or more falls with major injury

Lower rates are better for this measure.

1.9%

New or worsened pressure ulcers or injuries (skin integrity)

Lower rates are better for this measure.

Measure rates are from the CMS Care Compare home health data. Measures without current CMS data are not shown.

Discharge, Readmission & Medicare Spending

Patients discharged to the community, remaining home without unplanned hospital care

43 of 64 patient episodes · observed rate 67.19%

72.77% Same As National Rate

Potentially preventable hospital readmissions after discharge

Cases too small to report

Medicare spending per episode of care, relative to the national average

1.00 = national average per episode of care · based on 184 episodes

1.00

Risk-standardized rates account for differences in patient mix. Comparison labels are assigned by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victory Home Health Agency's NPI number?

The NPI number for Victory Home Health Agency is 1164589321. It was assigned to this organization in the NPPES registry on January 3, 2007.

Where is Victory Home Health Agency located?

Victory Home Health Agency is located at 24490 Sunnymead Blvd Ste 108, Moreno Valley, CA 92553. The listed phone number is (951) 924-5114.

What is Victory Home Health Agency's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Victory Home Health Agency hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1031398) is associated with this NPI, valid through September 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Victory Home Health Agency a Medicare-certified home health agency?

Yes. Victory Home Health Agency is a Medicare-certified home health agency, certified since August 20, 2003.

What quality rating does Victory Home Health Agency have?

CMS rates Victory Home Health Agency 2 out of 5 stars for quality of patient care on Care Compare. The full measure detail is in the Home Health Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Victory Home Health Agency was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.