Victorious Assisted Living Properties, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

VICTORIOUS ASSISTED LIVING PROPERTIES, LLC

Doing business as

Victorious Assisted Living

Practice address

3815 FM 646 Rd N
Santa Fe, TX 77510-6104

Phone

(281) 456-2074

Fax

(888) 345-0549

NPI assigned

Jun 6, 2023

Last updated

Jun 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dexter L Guice

Title

Manager

Phone

(713) 256-6764

Specialties & licenses 1

Addresses

Other names 1

• Victorious Assisted Living Doing business as

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1326732967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2732",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775742732",
            "telephone_number": "281-456-2074",
            "fax_number": "883-450-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 FM 646 RD N",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775106104",
            "telephone_number": "281-456-2074",
            "fax_number": "888-345-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIOUS ASSISTED LIVING PROPERTIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "GUICE",
        "authorized_official_first_name": "DEXTER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-256-6764"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victorious Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yen Kim Than, RPH
• Danelle L Tibaldo, RN
• Zuly Tovar Nevarez, LMSW
• Mayra Alejandra Tovias, O.D.
• Wynn Vanhouten
• David Antonio Vindel Brower, DDS
• Jerry Wayne Vitek, D.C.
• Chien Dinh Vu, PHARMD.
• Karen Colleen Watkins, FNP
• Christina Bonno Whitehurst, D.D.S.

• Assisted Living Facility in Santa Fe, TX
• Providers in Santa Fe, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.