Victory Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

7767 Issued in OK

Legal business name

VICTORY HOME HEALTH, LLC

Doing business as

Victory Home Health and Hospice

Practice address

104 Thoma Dr Ste 1
Box 769
Elgin, OK 73538-2203

Phone

(580) 492-6166

Fax

(580) 492-6160

NPI assigned

Jan 4, 2006

Last updated

Aug 18, 2016By 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

Kim Cripps, RN

Title

Administrator

Phone

(580) 371-2002

Specialties & licenses 1

Addresses

Other names 1

• Victory Home Health and Hospice Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• A Path of Care Home Health VI, LLC

  • Home Health Agency
  • Lawton, OK
  • NPI 1639864986

  Sold to, 2023-07-21

  CMS change of ownership

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1497733182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 E MAIN ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734602350",
            "telephone_number": "580-371-2002",
            "fax_number": "580-371-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 THOMA DR STE 1",
            "address_2": "BOX 769",
            "city": "ELGIN",
            "state": "OK",
            "postal_code": "735382203",
            "telephone_number": "580-492-6166",
            "fax_number": "580-492-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "CRIPPS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "580-371-2002",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victory Home Health and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Giles Spencer
• Stacy a Dudark, LCSW, Inc
• Patricia Rae Thurman, LCSW
• Tunnel Vision Recovery LLC
• Valir Outpatient Clinic #7 LLC
• Victory Hospice, Inc. (Victory Home Health and Hospice)
• Victory Medical Equipment
• Victory Medical Equipment LLC
• Victory Medical Equipment, LLC
• Shelby Leigh Zimmerman

• Home Health Agency in Elgin, OK
• Providers in Elgin, OK by specialty
• Home Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.