Organization Active NPI

Victory Home Care Private Duty, LLC

  • Home Health Agency
  • Redford, MI
National Provider Identifier
1356766729
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VICTORY HOME CARE PRIVATE DUTY, LLC
Practice address
14999 Telegraph Rd
Redford, MI 48239-3456
Phone
(313) 535-3500
Fax
(313) 766-4080
NPI assigned
Feb 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Authorized official

Name
Ms. Callista Chinwe Ugorji, MBA
Title
Administrator
Phone
(313) 535-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14999 Telegraph Rd
Redford, MI 48239-3456

Mailing address

PO Box 40645
Redford, MI 48240-0645
Phone (313) 535-3500

National Provider Directory

National Provider Directory

Locations

24634 5 Mile Rd
Redford, MI 48239
Phone (313) 550-3615

14999 Telegraph Rd
Redford, MI 48239
Phone (313) 535-1777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1356766729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40645",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482400645",
            "telephone_number": "313-535-3500",
            "fax_number": "313-766-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14999 TELEGRAPH RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393456",
            "telephone_number": "313-535-3500",
            "fax_number": "313-766-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY HOME CARE PRIVATE DUTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "UGORJI",
        "authorized_official_first_name": "CALLISTA",
        "authorized_official_middle_name": "CHINWE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-535-3500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.