Victory Transport LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

VICTORY TRANSPORT LLC

Practice address

14 Victory CT
Saginaw, MI 48602-3119

Phone

(989) 971-9333

NPI assigned

Apr 20, 2011

Last updated

Apr 20, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

VICTORY AFC I, LLCAs reported in NPPES

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

Authorized official

Name

Ms. Tanisha L. Johnson

Title

Owner

Phone

(989) 971-9333

Specialties & licenses 1

Addresses

Part of

Victory Transport LLC

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1316238637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 VICTORY CT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023119",
            "telephone_number": "989-971-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 VICTORY CT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023119",
            "telephone_number": "989-971-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY TRANSPORT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VICTORY AFC I, LLC",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-971-9333",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Vicini, DO
• Melissa Jessica Victor, MD
• Victory Afc Inc
• Victory Clinical Services IV, LLC
• Victory Transport Express Inc
• Vijay Chaku
• Teresa A Villano, NP
• Alexis Marie Villegas
• Vincent Medical Clinic, P.C.
• Vision of Peace

• Non-emergency Medical Transport (VAN) in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Non-emergency Medical Transport (VAN) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.