A Victorious Home Care

Organization Active NPI Home Health Agency · Concord, NC

NPI 1417199712 · NPPES record last updated Oct 28, 2011

Key facts

NPI
1417199712
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
HC3794 (NC)
Legal business name
A VICTORIOUS HOME CARE
Practice address
135 Cabarrus Ave E
Concord, NC 28025-3469
Phone
(704) 865-0718
Fax
(704) 865-0720
NPI assigned
Apr 1, 2009
Organization subpart
No

Authorized official

Name
Ike Ifedi
Title
Director
Phone
(704) 535-0995

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
A Victorious Home Care (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3794 NC Yes

Addresses

Primary practice location

135 Cabarrus Ave E
Concord, NC 28025-3469

Mailing address

3549 N Sharon Amity Rd Ste 301
Charlotte, NC 28205-2975
Phone (704) 535-0995

Other providers in Concord, NC

All providers in Concord, NC · Home Health Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.