Active NPI
Victory Home Care Agency LLC
- Home Health Aide
- Michigan City, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- VICTORY HOME CARE AGENCY LLC
- Practice address
- 2302 E Michigan Blvd
Michigan City, IN 46360-5372 - Phone
- (219) 229-4421
- Fax
- (219) 200-2919
- NPI assigned
- Oct 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Khalilah Odom
- Title
- President
- Phone
- (219) 229-4421
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
2302 E Michigan Blvd
Michigan City, IN 46360-5372
Mailing address
2302 E Michigan Blvd
Michigan City, IN 46360-5372
Phone (219) 229-4421
National Provider Directory
National Provider Directory- Tax ID family
- Victory Home Care Agency LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Michigan City, IN
- NPI 1972315414
Locations
2302 E Michigan Blvd
Michigan City, IN 46360
Phone (219) 229-4421
Practitioners & affiliated clinicians
Practitioners 2
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": "1760918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760918400000",
"number": "1053288506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2302 E MICHIGAN BLVD",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463605372",
"telephone_number": "219-229-4421",
"fax_number": "219-200-2919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2302 E MICHIGAN BLVD",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463605372",
"telephone_number": "219-229-4421",
"fax_number": "219-200-2919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTORY HOME CARE AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-20",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A",
"authorized_official_last_name": "ODOM",
"authorized_official_first_name": "KHALILAH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "219-229-4421"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.