Active NPI
Victory Residential Services LLC
- In Home Supportive Care Agency
- Cape Elizabeth, ME
National Provider Identifier
1316658479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- VICTORY RESIDENTIAL SERVICES LLC
- Practice address
- 51 Aster LN Apt 8
Cape Elizabeth, ME 04107-5139 - Phone
- (202) 321-2707
- NPI assigned
- Dec 9, 2022
- Last updated
- Dec 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frank Manzi
- Title
- Cfo
- Phone
- (319) 531-0642
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
51 Aster LN Apt 8
Cape Elizabeth, ME 04107-5139
Mailing address
51 Aster LN Apt 8
Cape Elizabeth, ME 04107-5139
Phone (202) 321-2707
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670544000000",
"number": "1316658479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 ASTER LN APT 8",
"city": "CAPE ELIZABETH",
"state": "ME",
"postal_code": "041075139",
"telephone_number": "202-321-2707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 ASTER LN APT 8",
"city": "CAPE ELIZABETH",
"state": "ME",
"postal_code": "041075139",
"telephone_number": "202-321-2707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTORY RESIDENTIAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-09",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A",
"authorized_official_last_name": "MANZI",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "319-531-0642"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Elizabeth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.