Victorious Family and Nursing Healthcare Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VICTORIOUS FAMILY AND NURSING HEALTHCARE SERVICES, LLC

Practice address

14333 Laurel Bowie Rd Ste 108
Laurel, MD 20708-1149

Phone

(240) 470-9867

Fax

(240) 470-9867

NPI assigned

Apr 23, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Eshter Monie Gonga, HEALTHCARE AGENCY

Title

Administrator

Phone

(240) 470-9867

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1487236071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14333 LAUREL BOWIE RD STE 108",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081149",
            "telephone_number": "240-470-9867",
            "fax_number": "240-470-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14333 LAUREL BOWIE RD STE 108",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081149",
            "telephone_number": "240-470-9867",
            "fax_number": "240-470-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIOUS FAMILY AND NURSING HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "GONGA",
        "authorized_official_first_name": "ESHTER",
        "authorized_official_middle_name": "MONIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-470-9867",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "HEALTHCARE AGENCY"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tynet",
            "affiliation": "N",
            "endpointDescription": "healthcare system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "files",
            "address_1": "14333 Laurel Bowie Rd Ste 108",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207081149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in Laurel, MD
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• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.