Victory Afc Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

VICTORY AFC INC

Practice address

2525 Mackinaw St
Saginaw, MI 48602-3143

Phone

(989) 971-9333

Fax

(281) 670-5667

NPI assigned

Jul 20, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Tanisha L Johnson

Title

Owner

Phone

(989) 971-9333

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1346813052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 ROBERTS ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486013137",
            "telephone_number": "989-971-9333",
            "fax_number": "281-670-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 MACKINAW ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023143",
            "telephone_number": "989-971-9333",
            "fax_number": "281-670-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY AFC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "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": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nisha.j@sbcglobal.net",
            "affiliation": "N",
            "address_1": "2525 Mackinaw St",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486023143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eric William Versluis
• Carolyn Marie-Dennis Vert, D.O.
• Leslye Vest
• Anthony Vicini, DO
• Melissa Jessica Victor, MD
• Victory Clinical Services IV, LLC
• Victory Transport Express Inc
• Victory Transport LLC
• Vijay Chaku
• Teresa A Villano, NP

• Assisted Living Facility in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.