NPIMap

Organization Active NPI

Victory Health Care Services LLC

  • Addiction (Substance Use Disorder) Counselor
  • Baltimore, MD
National Provider Identifier
1205485588
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
VICTORY HEALTH CARE SERVICES LLC
Doing business as
victory healthcare services LLC
Practice address
1900 E Northern Pkwy Ste 205207
Baltimore, MD 21239-2113
Phone
(443) 204-5144
Fax
(410) 617-8478
NPI assigned
Sep 9, 2019
Organization subpart
Yes
Parent organization
VICTORY HEALTH CARE SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Mr. Bode Akadri, MPP
Title
Director
Phone
(443) 529-9099

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

1900 E Northern Pkwy Ste 205207
Baltimore, MD 21239-2113

Mailing address

1900 E .Northern Park Way Suite205-207
Baltimore, MD 21239-4225
Phone (443) 529-9099

Other names 2

  • victory healthcare services LLC Doing business as
  • victory health care services llc Former legal business name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL BAKADRI@VHCSLLC.COM Direct
CONNECT URL BAKADRI@VHCSLLC.COM Direct

National Provider Directory

National Provider Directory
Tax ID family
Victory Health Care Services LLC8 organizations share this tax ID, including this one
Part of
Victory Health Care Services LLC

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5209 York Rd
Ste 2
Baltimore, MD 21212
Phone (410) 537-0698

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1205485588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E .NORTHERN PARK WAY SUITE205-207",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212394225",
            "telephone_number": "443-529-9099",
            "fax_number": "410-617-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E NORTHERN PKWY STE 205207",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392113",
            "telephone_number": "443-204-5144",
            "fax_number": "410-617-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY HEALTH CARE SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VICTORY HEALTH CARE SERVICES LLC",
        "enumeration_date": "2019-09-09",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "AKADRI",
        "authorized_official_first_name": "BODE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-529-9099",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BAKADRI@VHCSLLC.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "MENTAL HEALTH",
            "address_1": "5209 York Rd Ste 2",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212124225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BAKADRI@VHCSLLC.COM",
            "affiliation": "N",
            "endpointDescription": "MENTAL  HEALTH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "MENTAL  HEALTH",
            "address_1": "5209 York Rd Ste 2",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212124225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "victory healthcare services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "victory health care services llc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "victory health care services llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.