Victory House Health Care Services

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

VICTORY HOUSE HEALTH CARE SERVICES

Practice address

7099 Deshon Bend Cir
Lithonia, GA 30058-2935

Phone

(404) 786-5750

NPI assigned

Oct 7, 2015

Organization subpart

No

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

Authorized official

Name

Abibat Yussuff

Title

Owner

Phone

(404) 786-5750

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1134590821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7099 DESHON BEND CIR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300582935",
            "telephone_number": "404-786-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7099 DESHON BEND CIR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300582935",
            "telephone_number": "404-786-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY HOUSE HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "YUSSUFF",
        "authorized_official_first_name": "ABIBAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-786-5750"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Adult Care Home Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.