Provider Demographics
NPI:1730403916
Name:VICTORIAN NURSING SERVICES INC
Entity type:Organization
Organization Name:VICTORIAN NURSING SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-821-1262
Mailing Address - Street 1:530 S FEDERAL HWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-4140
Mailing Address - Country:US
Mailing Address - Phone:954-571-0461
Mailing Address - Fax:954-571-0464
Practice Address - Street 1:530 S FEDERAL HWY
Practice Address - Street 2:SUITE 101
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-4140
Practice Address - Country:US
Practice Address - Phone:954-571-0461
Practice Address - Fax:954-571-0464
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAREGIVER SERVICES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-17
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211027251J00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care