Victory Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VICTORY HOME HEALTH CARE LLC

Practice address

1582 Point Douglas Rd S
Saint Paul, MN 55119-6006

Phone

(651) 398-5708

NPI assigned

Jul 28, 2023

Organization subpart

No

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

Authorized official

Name

Yillah Eli Kargbo

Title

Director of Nursing

Phone

(651) 398-5708

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1427739770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1582 POINT DOUGLAS RD S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551196006",
            "telephone_number": "651-398-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1582 POINT DOUGLAS RD S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551196006",
            "telephone_number": "651-398-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-11-14",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "KARGBO",
        "authorized_official_first_name": "YILLAH",
        "authorized_official_middle_name": "ELI",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "651-398-5708"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mamie Marissa Vetsch, LMFT
• Leah Angela Vibar, D.C.
• Chad Randal Vickers, PMHNP
• Lorraine C Victor, CNNP
• Victorious Heart Services
• Kathryn Ann Vidal, OTR/L
• Bonnie Viele, R. NCS T., CNIM
• Ashley Viere, PA
• Rose E Vierling, RCP, CRTT
• Marilyn E Vigil, LICSW

• Home Health Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.