Organization Active NPI

Victory Home Health, LLC

Doing business as Victory Home Health and Hospice

  • Home Health Agency
  • Tishomingo, OK
National Provider Identifier
1326026014
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7542 Issued in OK
Legal business name
VICTORY HOME HEALTH, LLC
Doing business as
Victory Home Health and Hospice
Practice address
750 E Main St
Tishomingo, OK 73460-2350
Phone
(580) 371-9508
Fax
(580) 371-0537
NPI assigned
Jan 4, 2006
Last updated
Jul 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Authorized official

Name
John Brandon Durbin
Title
Ceo/President
Phone
(877) 945-2010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7542 OK Primary

Addresses

Primary practice location

750 E Main St
Tishomingo, OK 73460-2350

Mailing address

101 W Renner Rd Ste 420
Richardson, TX 75082-2022
Phone (877) 945-2010

Other practice location 1

11067 Highway 70
Kingston, OK 73439-8511
Phone (580) 564-4229

Other practice location 2

2700 Arlington
Ada, OK 74820-1757
Phone (580) 332-4351

Other practice location 3

2814 N 1st Ave
Durant, OK 74701-2511
Phone (580) 931-3707

Other practice location 4

1122 W Broadway St
Ardmore, OK 73401-2834
Phone (580) 276-9477

Other identifiers 8

IdentifierTypeStateIssuer
100262440DMedicaidOK
100262440JMedicaidOK
100262440IMedicaidOK
100262440AMedicaidOK
100262440FMedicaidOK
100262440EMedicaidOK
100262440GMedicaidOK
100262440HMedicaidOK

Other names 1

  • Victory Home Health and Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090408000199 OK Part A Provider - Home Health Agency 6709883358 Practice locations: Ada, OK; Tishomingo, OK; Kingston, OK; Ardmore, OK; Durant, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326026014. Details of each certification follow.

Home health agency certification: CCN 377574

Legal name
VICTORY HOME HEALTH, LLC
Doing business as
VICTORY HOME HEALTH & HOSPICE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 3, 1997
Last certification
Nov 13, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 27, 1997 in OK
Enrollment address
750 E Main St
Tishomingo, OK 73460-2350
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Victory Home Health, LLCCCN 377574 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Feb 3, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

2814 N 1st Ave
Durant, OK 74701
Phone (580) 931-3707

11067 Highway 70
Kingston, OK 73439
Phone (580) 564-4229

102 SW 3rd St
Lawton, OK 73501
Phone (580) 492-6166

750 E Main St
Tishomingo, OK 73460
Phone (580) 371-2002

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kimberly Cripps Individual 5% Or Greater Direct Ownership InterestMember Oct 1, 2020 50%
Corporate OfficerAdministrator Oct 1, 2020 100%
Corporate DirectorAdministrator Jan 1, 2008 100%
W-2 Managing EmployeeAdministrator Jan 1, 2008 100%
Jill Parham Individual 5% Or Greater Direct Ownership InterestMember Oct 1, 2020 50%
Misty Shackelford Individual Corporate DirectorAssitant Admin/Educator Jan 1, 2012 80%
W-2 Managing EmployeeAssistant Admin/Educator Jan 1, 2012 80%

Practitioners & affiliated clinicians

Affiliated clinicians 25

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1326026014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W RENNER RD STE 420",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822022",
            "telephone_number": "877-945-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E MAIN ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734602350",
            "telephone_number": "580-371-9508",
            "fax_number": "580-371-0537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11067 Highway 70",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "OK",
            "postal_code": "734398511",
            "country_code": "US",
            "telephone_number": "580-564-4229",
            "fax_number": "580-564-4272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Arlington",
            "address_purpose": "LOCATION",
            "city": "Ada",
            "state": "OK",
            "postal_code": "748201757",
            "country_code": "US",
            "telephone_number": "580-332-4351",
            "fax_number": "580-332-6272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2814 N 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "OK",
            "postal_code": "747012511",
            "country_code": "US",
            "telephone_number": "580-931-3707",
            "fax_number": "580-931-3710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1122 W Broadway St",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "OK",
            "postal_code": "734012834",
            "country_code": "US",
            "telephone_number": "580-276-9477",
            "fax_number": "580-276-9479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VICTORY HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "DURBIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "877-945-2010"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100262440D",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100262440J",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100262440I",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100262440A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100262440F",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100262440E",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100262440G",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100262440H",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victory Home Health and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tishomingo, OK

Sources for this page

Verify at the official NPI Registry.