NPIMap

Organization Active NPI

Victory Through Faith Recovery Services

  • Substance Abuse Rehabilitation Facility
  • Minneapolis, MN
National Provider Identifier
1548433840
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1009414 Issued in MN
Legal business name
VICTORY THROUGH FAITH RECOVERY SERVICES
Practice address
3047 5TH Ave S
Minneapolis, MN 55408-2415
Phone
(612) 827-0484
Fax
(612) 827-0485
NPI assigned
Apr 8, 2008
Last updated
May 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Authorized official

Name
Mr. William Wardel Lockett Sr.
Title
Ceo
Phone
(612) 827-0484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1009414 MN Primary

Addresses

Primary practice location

3047 5TH Ave S
Minneapolis, MN 55408-2415

Mailing address

3047 5TH Ave S
Minneapolis, MN 55408-2415
Phone (612) 827-0484

National Provider Directory

National Provider Directory
Tax ID family
Victory Through Faith Recovery Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3047 5th Ave S
Minneapolis, MN 55408
Phone (612) 827-0484

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1548433840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3047 5TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082415",
            "telephone_number": "612-827-0484",
            "fax_number": "612-827-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3047 5TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082415",
            "telephone_number": "612-827-0484",
            "fax_number": "612-827-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY THROUGH FAITH RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "LOCKETT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "WARDEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-827-0484",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "1009414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.