DBA: VICTORY HOME CARE AGENCY
NPI 1972505881
Home Health in Mesa, AZ

Active since August 10, 2005CLIA 03D1025468 · Waiver
1212 N SPENCER, SUITE 1, MESA, AZ 85203(480) 726-6553(480) 726-3329 Get Directions Write a Review

NPPES record last updated: April 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dba: Victory Home Care Agency NPPES

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

DBA: VICTORY HOME CARE AGENCY (NPI 1972505881) is a healthcare organization registered as a home health in Mesa, Arizona and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through May 6, 2028 and lists Eva Lorane Tejada Ward, Administrator, as its authorized official.

NPPES Registry Identity

NPI1972505881
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameVILLARAZA CORPORATION
Location Address1212 N SPENCER, SUITE 1Mesa, AZ 85203-4347
Mailing AddressP.o. Box 790Mesa, AZ 85211-0790 · (480) 726-6553 · Fax (480) 726-3329
Fax(480) 726-3329
Organization SubpartNo
Authorized OfficialEva Lorane Tejada WardAdministrator · (480) 726-6553
Enumeration DateAugust 10, 2005
Last NPPES UpdateApril 2, 2012
NPI 1972505881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License Licensed in AZ · HHA 3549
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.
1212 N SPENCER, Mesa, AZ 85203

Other Names 1

Doing Business AsDba: Victory Home Care Agency

Other Identifiers 2

Medicare ID-Type Unspecified037230AZ · Medicare Provider Number
OtherHHA 3549AZ · State License Number

Accepted Insurance

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 03D1025468

Victory Home Care Agency · Mesa, AZ
Active · expires May 6, 2028
CLIA Number03D1025468
Laboratory TypeHome Health Agency
Certificate Effective DateMay 7, 2026
Certificate Expiration DateMay 6, 2028
Laboratory DirectorEva Lorane T. Ward, Rn
Laboratory Phone(480) 726-6553
Laboratory LocationVictory Home Care Agency1212 N Spencer St, Ste 1, Mesa, AZ 85203
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1212 N SPENCER
MESA, AZ 85203
Family Medicine (Geriatric Medicine)
1212 N SPENCER, SUITE 3
MESA, AZ 85203

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 Villaraza Corporation's NPI number?

The NPI number for Villaraza Corporation is 1972505881. It was assigned to this organization in the NPPES registry on August 10, 2005. The provider is doing business as Dba: Victory Home Care Agency.

Where is Villaraza Corporation located?

Villaraza Corporation is located at 1212 N Spencer Suite 1, Mesa, AZ 85203. The listed phone number is (480) 726-6553.

What is Villaraza Corporation's specialty?

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

Does Villaraza Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1025468) is associated with this NPI, valid through May 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Villaraza Corporation accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Villaraza Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Villaraza Corporation was last updated on April 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.