Great Victory Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GREAT VICTORY CARE LLC

Practice address

2304 Senator Ave
District Heights, MD 20747-3354

Phone

(240) 353-5656

NPI assigned

May 26, 2022

Organization subpart

No

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

Authorized official

Name

Moses Adejoh

Title

Owner

Phone

(240) 353-5656

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1073251328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 SENATOR AVE",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207473354",
            "telephone_number": "240-353-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 SENATOR AVE",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207473354",
            "telephone_number": "240-353-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT VICTORY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "ADEJOH",
        "authorized_official_first_name": "MOSES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-353-5656"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in District Heights, MD
• Providers in District Heights, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.