Victory Collegiate Academy Corp.

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

VICTORY COLLEGIATE ACADEMY CORP.

Practice address

3535 N 63Rd Ave
Phoenix, AZ 85033-4503

Phone

(623) 810-9781

Fax

(623) 926-2748

NPI assigned

Sep 7, 2019

Organization subpart

No

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

Authorized official

Name

Michelle Gentry

Title

Credentialing Specialist

Phone

(800) 354-4881

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1567814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567814400000",
    "number": "1215586748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 N CENTRAL AVE STE 1600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121950",
            "telephone_number": "800-354-4881",
            "fax_number": "602-926-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 N 63RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850334503",
            "telephone_number": "623-810-9781",
            "fax_number": "623-926-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY COLLEGIATE ACADEMY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-07",
        "last_updated": "2019-09-07",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "800-354-4881"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Local Education Agency (LEA) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2019; 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.