NPIMap

Organization Active NPI

Victory Health Care Services LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1578176731
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VICTORY HEALTH CARE SERVICES LLC
Doing business as
Victory Health Care Services LLC
Practice address
1900 E Northern Pkwy Ste 205207
Baltimore, MD 21239-2113
Phone
(443) 204-5144
Fax
(410) 617-8478
NPI assigned
Aug 27, 2020
Last updated
Dec 10, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
VICTORY HEALTH CARE SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Bode Akadri, MPP
Title
Ceo
Phone
(443) 204-5144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1900 E Northern Pkwy Ste 205207
Baltimore, MD 21239-2113

Mailing address

1900 E Northern Pkwy Ste 205207
Baltimore, MD 21239-2113
Phone (443) 204-5144

Other names 1

  • VICTORY HEALTH CARE SERVICES LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Victory Healthcare Services LLC8 organizations share this tax ID, including this one
Part of
Victory Healthcare Services LLC

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1598486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1578176731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E NORTHERN PKWY STE 205207",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392113",
            "telephone_number": "443-204-5144",
            "fax_number": "410-617-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E NORTHERN PKWY STE 205207",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392113",
            "telephone_number": "443-204-5144",
            "fax_number": "410-617-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY HEALTH CARE SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VICTORY HEALTH CARE SERVICES LLC",
        "enumeration_date": "2020-08-27",
        "last_updated": "2024-12-10",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "AKADRI",
        "authorized_official_first_name": "BODE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-204-5144",
        "authorized_official_credential": "MPP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VICTORY HEALTH CARE SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VICTORY HEALTH CARE SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.