Organization Active NPI

Victory Healthcare Agency

  • Home Health Agency
  • Shawnee, KS
National Provider Identifier
1003113549
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
A046174 Issued in KS
Legal business name
VICTORY HEALTHCARE AGENCY
Practice address
10303 W 77TH St
Apt#207
Shawnee, KS 66214-1217
Phone
(913) 602-0686
Fax
(913) 499-6198
NPI assigned
Feb 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Samuel Addo Danso, BSN, RN
Title
Administrator
Phone
(913) 602-0686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X A046174 KS Primary

Addresses

Primary practice location

10303 W 77TH St
Apt#207
Shawnee, KS 66214-1217

Mailing address

10303 W 77TH St
Apt#207
Shawnee, KS 66214-1217

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1003113549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10303 W 77TH ST",
            "address_2": "APT#207",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662141217",
            "fax_number": "913-499-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10303 W 77TH ST",
            "address_2": "APT#207",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662141217",
            "telephone_number": "913-602-0686",
            "fax_number": "913-499-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY HEALTHCARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "DANSO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "ADDO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "913-602-0686",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": "A046174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.