Active NPI
Victory Home Health, LLC
Doing business as Victory Home Health and Hospice
- Home Health Agency
- Tishomingo, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 7542
- 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, 2026
- 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
- John Brandon Durbin
- Title
- Ceo/President
- Phone
- (877) 945-2010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100262440D | Medicaid | OK | |
| 100262440J | Medicaid | OK | |
| 100262440I | Medicaid | OK | |
| 100262440A | Medicaid | OK | |
| 100262440F | Medicaid | OK | |
| 100262440E | Medicaid | OK | |
| 100262440G | Medicaid | OK | |
| 100262440H | Medicaid | OK |
Other names 1
- Victory Home Health and Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Incorporated
- Jan 27, 1997 in OK
- Enrollment address
- 750 E Main St
Tishomingo, OK 73460-2350
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Victory Home Health, LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Feb 3, 1997
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kimberly Cripps | 5% Or Greater Direct Ownership Interest | Oct 1, 2020 | 50% |
| Corporate Officer | Oct 1, 2020 | 100% | |
| Corporate Director | Jan 1, 2008 | 100% | |
| W-2 Managing Employee | Jan 1, 2008 | 100% | |
| Jill Parham | 5% Or Greater Direct Ownership Interest | Oct 1, 2020 | 50% |
| Misty Shackelford | Corporate Director | Jan 1, 2012 | 80% |
| W-2 Managing Employee | Jan 1, 2012 | 80% |
Practitioners & affiliated clinicians
Affiliated clinicians 25
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- General Practice Physician
- Tishomingo, OK
- NPI 1316203938
Home health agency
-
- Family Medicine Physician
- Madill, OK
- NPI 1508802216
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.