A Victorious Health Service

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

EN0925 Issued in SC

Legal business name

A VICTORIOUS HEALTH SERVICE

Practice address

2025 Ebenezer Rd Ste J1
Rock Hill, SC 29732-1079

Phone

(803) 980-0116

Fax

(803) 980-0117

NPI assigned

Mar 30, 2009

Last updated

Mar 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ike Ifedi

Title

Director

Phone

(704) 535-0995

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1487896924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3549 N SHARON AMITY RD STE 301",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282052975",
            "telephone_number": "704-535-0995",
            "fax_number": "704-536-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 EBENEZER RD STE J1",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321079",
            "telephone_number": "803-980-0116",
            "fax_number": "803-980-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A VICTORIOUS HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "IFEDI",
        "authorized_official_first_name": "IKE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-535-0995"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "SC",
            "license": "EN0925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Case Management Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.