NPIMap

Organization Active NPI

Victorious Healthcare, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Raleigh, NC
National Provider Identifier
1447504782
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
VICTORIOUS HEALTHCARE, INC.
Practice address
6512 Six Forks Rd Ste 200
Raleigh, NC 27615-6525
Phone
(919) 846-2111
Fax
(919) 846-7733
NPI assigned
Nov 8, 2012
Last updated
Nov 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Bruce Ward
Title
Executive Director
Phone
(919) 523-2761

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

6512 Six Forks Rd Ste 200
Raleigh, NC 27615-6525

Mailing address

4225 Coldwater Springs Dr
Raleigh, NC 27616-8419

National Provider Directory

National Provider Directory
Tax ID family
Victorious Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

6512 Six Forks Rd
Ste 200
Raleigh, NC 27615
Phone (919) 806-6381

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1447504782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 COLDWATER SPRINGS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276168419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 SIX FORKS RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156525",
            "telephone_number": "919-846-2111",
            "fax_number": "919-846-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIOUS HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-523-2761"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.