Active NPI
Victory Healthcare Resources Inc
- Developmentally Disabled Services Day Training Agency
- Randallstown, MD
National Provider Identifier
1376215673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- VICTORY HEALTHCARE RESOURCES INC
- Practice address
- 3504 Seapines Cir
Randallstown, MD 21133-2445 - Phone
- (410) 929-9980
- Fax
- (410) 929-9982
- NPI assigned
- Oct 5, 2021
- 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
- Murray Iyke Obanye, CRNP
- Title
- President/Ceo
- Phone
- (410) 929-9980
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
3504 Seapines Cir
Randallstown, MD 21133-2445
Mailing address
3504 Seapines Cir
Randallstown, MD 21133-2445
Phone (410) 929-9980
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Randallstown | Other |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Randallstown, MD
- NPI 1689243354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633392000000",
"number": "1376215673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3504 SEAPINES CIR",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211332445",
"telephone_number": "410-929-9980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3504 SEAPINES CIR",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211332445",
"telephone_number": "410-929-9980",
"fax_number": "410-929-9982"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTORY HEALTHCARE RESOURCES INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-05",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A",
"authorized_official_last_name": "OBANYE",
"authorized_official_first_name": "MURRAY",
"authorized_official_middle_name": "IYKE",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "410-929-9980",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Randallstown",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Randallstown",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Randallstown",
"address_1": "3504 Seapines Cir",
"city": "Randallstown",
"state": "MD",
"country_code": "US",
"postal_code": "211332445",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Randallstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.