Active NPI
Victorious Health Services
Doing business as A Victorious Home Care
- In Home Supportive Care Agency
- Charlotte, NC
National Provider Identifier
1578621264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- VICTORIOUS HEALTH SERVICES
- Doing business as
- A Victorious Home Care
- Practice address
- 2332 Beatties Ford Rd
Charlotte, NC 28216-4314 - Phone
- (704) 535-0995
- Fax
- (704) 536-4373
- NPI assigned
- Dec 5, 2006
- Last updated
- May 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cyprian Ike Ifedi
- Title
- Director / Administrator
- Phone
- (704) 535-0995
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Nursing Facility/Intermediate Care Facility | 313M00000X | HC2479 | NC | |
| Respite Care | 385H00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
2332 Beatties Ford Rd
Charlotte, NC 28216-4314
Mailing address
2332 Beatties Ford Rd
Charlotte, NC 28216-4314
Phone (704) 535-0995
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3409646 | Medicaid | NC | |
| 7100596 | Medicaid | NC | |
| 6601047 | Medicaid | NC |
Other names 1
- A Victorious Home Care
National Provider Directory
National Provider DirectoryLocations
3549 N Sharon Amity Rd
Ste 300
Charlotte, NC 28205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653609600000",
"number": "1578621264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2332 BEATTIES FORD RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282164314",
"telephone_number": "704-535-0995",
"fax_number": "704-536-4373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2332 BEATTIES FORD RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282164314",
"telephone_number": "704-535-0995",
"fax_number": "704-536-4373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTORIOUS HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2022-05-27",
"certification_date": "2022-05-27",
"status": "A",
"authorized_official_last_name": "IFEDI",
"authorized_official_first_name": "CYPRIAN",
"authorized_official_middle_name": "IKE",
"authorized_official_title_or_position": "DIRECTOR / ADMINISTRATOR",
"authorized_official_telephone_number": "704-535-0995"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "NC",
"license": "HC2479",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3409646",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100596",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6601047",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "A Victorious Home Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "A Victorious Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.