Victory Care Home LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

VICTORY CARE HOME LLC

Practice address

2812 Park Springs Dr
Grand Prairie, TX 75052-8529

Phone

(214) 223-0391

NPI assigned

Aug 5, 2025

Organization subpart

No

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

Authorized official

Name

Rosaline Wahome, RN,BSN

Title

Manager

Phone

(214) 223-0391

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1144104688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 PARK SPRINGS DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528529",
            "telephone_number": "214-223-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 PARK SPRINGS DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528529",
            "telephone_number": "214-223-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "WAHOME",
        "authorized_official_first_name": "ROSALINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-223-0391",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.