Victory Recovery House, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

VICTORY RECOVERY HOUSE, LLC

Practice address

508 SW 11TH St
Fort Lauderdale, FL 33315-1234

Phone

(954) 746-8232

Fax

(954) 746-8231

NPI assigned

Aug 4, 2014

Organization subpart

No

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

Authorized official

Name

Theresa Smith

Title

Billing Manager

Phone

(954) 746-8232

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1427467463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 LAKEVIEW DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717802",
            "telephone_number": "954-746-8232",
            "fax_number": "954-744-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 SW 11TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151234",
            "telephone_number": "954-746-8232",
            "fax_number": "954-746-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY RECOVERY HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "954-746-8232"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Toledano MD PA
• Victor Totfalusi, DO, PA
• Janice Debra Victor, M.D.
• Shannan Victorino, APRN
• Victory Living Programs
• Ricardo I Vicuna, M.D.
• Vidaltia Corp.
• Vanessa Vieda, PA-C
• Vania Charity Vieta
• Michael P Vignogna, MD

• Substance Use Disorder Rehabilitation Clinic/Center in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.