VICTORY GENTLECARE AGENCY LLC
NPI 1760229074
Home Health in Hurst, TX

Active since July 12, 2024CLIA 45D2317034 · Waiver
115 MELBOURNE RD, HURST, TX 76053(682) 227-2406 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Victory Gentlecare Agency Llc NPPES

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

VICTORY GENTLECARE AGENCY LLC (NPI 1760229074) is a healthcare organization registered as a home health in Hurst, Texas and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through January 15, 2027 and lists Celestina Duru, Administrator, as its authorized official.

NPPES Registry Identity

NPI1760229074
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameVICTORY GENTLECARE AGENCY LLC
Location Address115 MELBOURNE RDHurst, TX 76053-6318
Mailing Address115 Melbourne RdHurst, TX 76053-6318
Organization SubpartNo
Authorized OfficialCelestina DuruAdministrator · (469) 766-1659
Enumeration DateJuly 12, 2024
NPPES CertifiedJuly 12, 2024
NPI 1760229074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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.
Also ListedPediatricsTaxonomy 208000000X
Also ListedTechnician · Attendant Care ProviderTaxonomy 3747A0650X
115 MELBOURNE RD, Hurst, TX 76053

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 45D2317034

Victory Gentlecare Agency LLC · Hurst, TX
Active · expires Jan 15, 2027
CLIA Number45D2317034
Laboratory TypeHome Health Agency
Certificate Effective DateJanuary 16, 2025
Certificate Expiration DateJanuary 15, 2027
Laboratory DirectorCelestina Duru
Laboratory Phone(682) 227-2406
Laboratory LocationVictory Gentlecare Agency LLC115 Melbourne Road, Hurst, TX 76053
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Gentlecare Agency LLC's NPI number?

The NPI number for Victory Gentlecare Agency LLC is 1760229074. It was assigned to this organization in the NPPES registry on July 12, 2024.

Where is Victory Gentlecare Agency LLC located?

Victory Gentlecare Agency LLC is located at 115 Melbourne Rd, Hurst, TX 76053. The listed phone number is (682) 227-2406.

What is Victory Gentlecare Agency LLC's specialty?

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

Does Victory Gentlecare Agency LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2317034) is associated with this NPI, valid through January 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Victory Gentlecare Agency LLC was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.