Organization Active NPI

Victory Care LLC

  • Community/Behavioral Health Agency
  • Portsmouth, VA
National Provider Identifier
1063147544
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VICTORY CARE LLC
Doing business as
Victory Care LLC
Practice address
2217 Des Moines Ave
Portsmouth, VA 23704-5423
Phone
(757) 472-0400
NPI assigned
Jul 19, 2022
Last updated
Sep 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Francisca OzohNPI 1760129993
Title
Ceo
Phone
(757) 472-0400

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2217 Des Moines Ave
Portsmouth, VA 23704-5423

Mailing address

2217 Des Moines Ave
Portsmouth, VA 23704-5423
Phone (757) 472-0400

Other identifiers 2

IdentifierTypeStateIssuer
3001745922MedicaidVA
1063147544MedicaidVA

Other names 1

  • Victory Care LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1063147544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 DES MOINES AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237045423",
            "telephone_number": "757-472-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 DES MOINES AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237045423",
            "telephone_number": "757-472-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "OZOH",
        "authorized_official_first_name": "FRANCISCA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-472-0400"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001745922",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063147544",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victory Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.