Organization Active NPI

Victorious Residential Care LLC

  • Homemaker
  • Fairlawn, OH
National Provider Identifier
1093509309
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
VICTORIOUS RESIDENTIAL CARE LLC
Practice address
2850 Sand Run Pkwy
Fairlawn, OH 44333-2854
Phone
(234) 901-9333
NPI assigned
Apr 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Shanara Yvette SmithNPI 1063138709
Title
Owner/Operator
Phone
(234) 901-9333

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
Home Health Agency 251E00000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

2850 Sand Run Pkwy
Fairlawn, OH 44333-2854

Mailing address

2850 Sand Run Pkwy
Fairlawn, OH 44333-2854
Phone (234) 901-9333

Other names 1

  • Victorious Health Care Solution Other name

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.

NPI Registry JSON

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1093509309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 SAND RUN PKWY",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443332854",
            "telephone_number": "234-901-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 SAND RUN PKWY",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443332854",
            "telephone_number": "234-901-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIOUS RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHANARA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "234-901-9333"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victorious Health Care Solution",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.

Verify at the official NPI Registry.