Victory Place Home Health Care, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

RN561615 Issued in PA

Legal business name

VICTORY PLACE HOME HEALTH CARE, LLC.

Practice address

501 Centennial Ave
Gilbertsville, PA 19525-9223

Phone

(267) 767-3836

Fax

(484) 949-8786

NPI assigned

Jul 3, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Paul Olatunde Bankole, RN; BSN

Title

Director of Organization

Phone

(267) 767-3836

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1528474194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CENTENNIAL AVE",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195259223",
            "telephone_number": "267-767-3836",
            "fax_number": "484-949-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CENTENNIAL AVE",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195259223",
            "telephone_number": "267-767-3836",
            "fax_number": "484-949-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY PLACE HOME HEALTH CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "BANKOLE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "OLATUNDE",
        "authorized_official_title_or_position": "DIRECTOR OF ORGANIZATION",
        "authorized_official_telephone_number": "267-767-3836",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN; BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "RN561615",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "RN561615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Ambumkayathu Thomas, DPT
• Jill Tomlinson
• Johanna Troelsch
• Kristin Tullo, PHARMD
• Turning Points Weight Management, LLC
• Victory Place Homecare Services, LLC
• Viliane Vilcant, D.O.
• Katiemarie Gale Vottero, DO
• Edward T Wagner III, LPC
• Gena Nicole Williams, PA-C

• Home Health Agency in Gilbertsville, PA
• Providers in Gilbertsville, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.