Victory Home Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

333944 Issued in MN

Legal business name

VICTORY HOME CARE, INC

Practice address

7420 Unity Ave N
209
Brooklyn Park, MN 55443-3143

Phone

(763) 566-3318

Fax

(763) 560-0250

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Allwell Inimgba

Title

Administrator

Phone

(763) 566-3318

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265528145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 UNITY AVE N",
            "address_2": "209",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433143",
            "telephone_number": "763-566-3318",
            "fax_number": "763-560-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 UNITY AVE N",
            "address_2": "209",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433143",
            "telephone_number": "763-566-3318",
            "fax_number": "763-560-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "INIMGBA",
        "authorized_official_first_name": "ALLWELL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "763-566-3318",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "333944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.