Victory Manor LLC.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

BH5323 Issued in AZ

Legal business name

VICTORY MANOR LLC.

Practice address

1041 S Yucca PL
Chandler, AZ 85286-0982

Phone

(480) 277-3995

Fax

(480) 257-3447

NPI assigned

Jan 31, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Juster Muthoni Njuguna, CEO.

Title

Administrator

Phone

(480) 277-3995

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1003314428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 W MORELOS ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852247241",
            "telephone_number": "480-277-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 S YUCCA PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852860982",
            "telephone_number": "480-277-3995",
            "fax_number": "480-257-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY MANOR LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "NJUGUNA",
        "authorized_official_first_name": "JUSTER",
        "authorized_official_middle_name": "MUTHONI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-277-3995",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CEO."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH5323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.