Organization Active NPI

Victory Institute, Inc

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1508079674
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VICTORY INSTITUTE, INC
Doing business as
Affordable Home Health Care
Practice address
12115 Self Plaza Dr
Suite300
Dallas, TX 75218-1469
Phone
(972) 285-2500
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Thomas Varughese
Title
President
Phone
(972) 285-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X TX Primary

Addresses

Primary practice location

12115 Self Plaza Dr
Suite300
Dallas, TX 75218-1469

Mailing address

12115 Self Plaza Dr
Suite300
Dallas, TX 75218-1469
Phone (972) 285-2500

Other names 1

  • Affordable Home Health Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031226000261 TX Part A Provider - Home Health Agency 2769380898 Practice locations: Dallas, TX

Home health agency certification: CCN 679481

Legal name
VICTORY INSTITUTE, INC
Doing business as
AFFORDABLE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 21, 2004
Last certification
Mar 22, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 1, 1999 in TX
Enrollment address
12115 Self Plaza Dr.
Dallas, TX 75218-1469

Care Compare: Home health agency

Medicare Care Compare
Listed as
Affordable Home HealthCCN 679481
Overall star rating
1 of 5
Ownership
Proprietary
Certified
May 21, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

12115 Self Plaza Dr
Ste 300
Dallas, TX 75218
Phone (972) 285-2500

617 W Kearney St
Ste 301
Mesquite, TX 75149
Phone (972) 216-3500

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Victory Institute, Inc Organization, Dallas, TX Corporation, For-profit 5% Or Greater Direct Ownership Interest Jun 1, 1999
Thomas Varughese Individual Corporate DirectorAdministrator Jun 1, 2008
Vijoy a Joseph Individual 5% Or Greater Direct Ownership Interest Aug 1, 2003 100%
W-2 Managing EmployeeFinance/Acctg MGR Apr 24, 2004 100%
Rosa Mercado-Pazo Individual Corporate DirectorDirector of Nursing Apr 27, 2004
W-2 Managing Employee Aug 1, 2003
Mathew Cherian Individual W-2 Managing EmployeeVP Finance Jun 1, 2008

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508079674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12115 SELF PLAZA DR",
            "address_2": "SUITE300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752181469",
            "telephone_number": "972-285-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12115 SELF PLAZA DR",
            "address_2": "SUITE300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752181469",
            "telephone_number": "972-285-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY INSTITUTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2022-07-21",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "VARUGHESE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-285-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Affordable Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.