Victorious Healthcare Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

VICTORIOUS HEALTHCARE INC

Practice address

7417 Knightdale Blvd Ste 108
Knightdale, NC 27545-8824

Phone

(919) 345-0045

NPI assigned

Aug 7, 2009

Last updated

Feb 15, 2011By 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

Mr. Renwick B WardNPI 1851586044

Title

Owner

Phone

(919) 345-0045

Specialties & licenses 1

Addresses

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.

• Victorious Healthcare, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Raleigh, NC
  • NPI 1447504782
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Renwick Bruce Ward, QMHP

  • Case Manager/Care Coordinator
  • Raleigh, NC
  • NPI 1851586044
  Authorized official Same address or phone

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1508097528",
    "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",
            "telephone_number": "919-345-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7417 KNIGHTDALE BLVD STE 108",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275458824",
            "telephone_number": "919-345-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIOUS HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-07",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "RENWICK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-345-0045",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kimberly Lynette Vann-Hunt, M.ED. CCC-SLP
• Sibu Kappumkal Varghese, DPT
• VCP Raleigh, LLC (Vein Care Pavilion of Raleigh)
• Serenity Vensko, PHARMD
• Village Rehabilitation and Consulting Clinic, LLC
• Vital Health Services, LLC
• Bethany Waddey
• Wake Counseling Associates, PLLC
• Wake Forest Pediatric Associates, PLLC (WFPA, PLLC - Knightdale Pediatric Office)

• Community/Behavioral Health Agency in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.