Victory Residential Services LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

VICTORY RESIDENTIAL SERVICES LLC

Practice address

9200 Sayornis CT
Raleigh, NC 27615-8114

Phone

(919) 247-8391

Fax

(919) 266-3809

NPI assigned

Feb 5, 2010

Last updated

Jul 25, 2013By 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. Isarel Udochukwu Ojimadu

Title

Administrator/Owner

Phone

(919) 247-8391

Specialties & licenses 1

Addresses

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.

• Israel Ojimadu, CEO

  • Personal Care Attendant
  • Raleigh, NC
  • NPI 1073842324
  NPD (past)

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1548592215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7048 KNIGHTDALE BLVD",
            "address_2": "SUITE 101",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275458894",
            "telephone_number": "919-247-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 SAYORNIS CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276158114",
            "telephone_number": "919-247-8391",
            "fax_number": "919-266-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "OJIMADU",
        "authorized_official_first_name": "ISAREL",
        "authorized_official_middle_name": "UDOCHUKWU",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "919-247-8391",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria F Lucking PLLC LCSW
• Victorious Healthcare, Inc.
• Victory Healthcare Inc
• Victory Healthcare Services, Inc
• Victory Home Care, Inc
• Victory Wellness LLC
• Vida Counseling, PLLC
• Video Therapy
• Videri Counseling Services PLLC
• Kaitlyn Elizabeth Viera, MSW, LCSWA

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.