Victoria House, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

VICTORIA HOUSE, INC.

Practice address

907 W Wilcox St
Perry, FL 32347-2422

Phone

(850) 584-7408

Fax

(850) 223-1244

NPI assigned

Feb 12, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia E. Glenn

Title

Owner & Director

Phone

(850) 584-2314

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1386812436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 MORGAN WHIDDON RD",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323472145",
            "telephone_number": "850-584-2314",
            "fax_number": "850-223-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 W WILCOX ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323472422",
            "telephone_number": "850-584-7408",
            "fax_number": "850-223-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER & DIRECTOR",
        "authorized_official_telephone_number": "850-584-2314",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Tuten
• Brittany D Upshaw
• Peter Urban, M.D.
• Glenda Elaine Valentine, LMT
• Madeline Vernese, CCC-SLP
• Agustin Vilardo, M.D.
• Vision Arts Eye Care Center of Perry Inc
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Michael Andrew Walby, OD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Perry, FL
• Providers in Perry, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.