Organization Active NPI

Victorious Healthcare Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Canton, MA
National Provider Identifier
1174239750
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
VICTORIOUS HEALTHCARE SERVICES LLC
Practice address
5 Dan Rd
Canton, MA 02021-2817
Phone
(781) 318-3609
Fax
(781) 318-8013
NPI assigned
Jan 26, 2023
Last updated
Jan 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Onyinye U OsuagwuNPI 1730733874
Title
Owner of Entity
Phone
(781) 318-3609

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

5 Dan Rd
Canton, MA 02021-2817

Mailing address

5 Dan Rd
Canton, MA 02021-2817
Phone (781) 318-3609

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1174239750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DAN RD",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212817",
            "telephone_number": "781-318-3609",
            "fax_number": "781-318-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DAN RD",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212817",
            "telephone_number": "781-318-3609",
            "fax_number": "781-318-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIOUS HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "OSUAGWU",
        "authorized_official_first_name": "ONYINYE",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "781-318-3609"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.