Organization Active NPI

Victory Place Homecare Services, LLC

  • In Home Supportive Care Agency
  • Gilbertsville, PA
National Provider Identifier
1205513504
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
VICTORY PLACE HOMECARE SERVICES, LLC
Practice address
501 Centennial Avenue
Gilbertsville, PA 19525
Phone
(267) 767-3836
Fax
(484) 949-8766
NPI assigned
Jun 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Authorized official

Name
Mr. Paul Bankole, RN, BSN
Title
Registered Nurse-Ceo
Phone
(267) 767-3836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

501 Centennial Avenue
Gilbertsville, PA 19525

Mailing address

501 Centennial Avenue
Gilbertsville, PA 19525
Phone (267) 767-3836

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1205513504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CENTENNIAL AVENUE",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "19525",
            "telephone_number": "267-767-3836",
            "fax_number": "484-949-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CENTENNIAL AVENUE",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "19525",
            "telephone_number": "267-767-3836",
            "fax_number": "484-949-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY PLACE HOMECARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "BANKOLE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "REGISTERED NURSE-CEO",
        "authorized_official_telephone_number": "267-767-3836",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbertsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.