Organization Active NPI

Victory Health & Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Danvers, MA
National Provider Identifier
1033930110
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
VICTORY HEALTH & WELLNESS LLC
Doing business as
Victory health & wellness LLC
Practice address
2 Electronics Ave Ste 10
Danvers, MA 01923-1071
Phone
(781) 334-8878
NPI assigned
Oct 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Mr. Kenneth Murimi Kamau, LPNNPI 1932961612
Title
Nurse
Phone
(781) 334-8878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2 Electronics Ave Ste 10
Danvers, MA 01923-1071

Mailing address

2 Electronics Ave Ste 10
Danvers, MA 01923-1071
Phone (781) 334-8878

Other names 1

  • Victory health & wellness LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2 Electronics Ave
Ste 10
Danvers, MA 01923
Phone (781) 334-8878

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1033930110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ELECTRONICS AVE STE 10",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231071",
            "telephone_number": "781-334-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ELECTRONICS AVE STE 10",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231071",
            "telephone_number": "781-334-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "KAMAU",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "MURIMI",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "781-334-8878",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victory health & wellness LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.