Victory Nursing & Home Care, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

022-R-0503 Issued in GA

Legal business name

VICTORY NURSING & HOME CARE, INC.

Practice address

238 S Carroll Rd
Villa Rica, GA 30180-2625

Phone

(404) 474-8900

Fax

(404) 474-1189

NPI assigned

Dec 4, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Leona N Amadi

Title

Administrator

Phone

(404) 474-8900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Victory Staffing & Home Care Services, Inc. Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynda Cotton, RN

  • Home Health Registered Nurse
  • Villa Rica, GA
  • NPI 1073477055
  NPD (past)

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

{
    "created_epoch": "1291420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496793600000",
    "number": "1114229630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 S. CARROLL RD.",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801929",
            "telephone_number": "404-474-8900",
            "fax_number": "404-474-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 S CARROLL RD",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301802625",
            "telephone_number": "404-474-8900",
            "fax_number": "404-474-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY NURSING & HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-04",
        "last_updated": "2017-06-07",
        "status": "A",
        "authorized_official_last_name": "AMADI",
        "authorized_official_first_name": "LEONA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-474-8900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "022-R-0503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275601989A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victory Staffing & Home Care Services, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Fe Socorro Daproza Velez, P.T.
• Eric Vera, MD
• Merna Michelle Vera, MD
• Veranet Healthcare, LLC
• El Janeo D Vereen
• Vidro Industries, LLC
• Vidro Industries, LLC
• Villa Rica Behavioral Health PC
• Villa Rica Dental Smiles LLC
• Villa Rica Family Dental

• In Home Supportive Care Agency in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; 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.