Organization Active NPI

Victory Hands Healthcare LLC

  • Home Health Agency
  • Riverview, FL
National Provider Identifier
1063005742
Registry record updated Feb 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VICTORY HANDS HEALTHCARE LLC
Practice address
12747 Standbridge Dr
Riverview, FL 33579-7759
Phone
(815) 666-5267
NPI assigned
Feb 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2021

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

Authorized official

Name
Chukwuyem Obia
Title
Ceo
Phone
(815) 666-5267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12747 Standbridge Dr
Riverview, FL 33579-7759

Mailing address

12747 Standbridge Dr
Riverview, FL 33579-7759
Phone (815) 666-5267

Other names 1

  • VICTORY HANDS HEALTHCARE LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1613260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613260800000",
    "number": "1063005742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12747 STANDBRIDGE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797759",
            "telephone_number": "815-666-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12747 STANDBRIDGE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797759",
            "telephone_number": "815-666-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY HANDS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-14",
        "last_updated": "2021-02-14",
        "certification_date": "2021-02-14",
        "status": "A",
        "authorized_official_last_name": "OBIA",
        "authorized_official_first_name": "CHUKWUYEM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-666-5267"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VICTORY HANDS HEALTHCARE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2021; 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.