Organization Active NPI

Victory Home Medical

  • Oxygen Equipment & Supplies (DME)
  • Eunice, LA
National Provider Identifier
1619174158
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
VICTORY HOME MEDICAL
Practice address
400 W Maple Ave
Eunice, LA 70535-5346
Phone
(337) 546-6500
Fax
(337) 457-4750
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Kayla OglesbyNPI 1063532612
Title
Owner
Phone
(337) 546-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

400 W Maple Ave
Eunice, LA 70535-5346

Mailing address

400 W Maple Ave
Eunice, LA 70535-5346
Phone (337) 546-6500

Other identifiers 2

IdentifierTypeStateIssuer
G0973OtherLABLUE CROSS
1566659MedicaidLA

National Provider Directory

National Provider Directory

Locations

400 W Maple Ave
Eunice, LA 70535
Phone (337) 546-6500

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1619174158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MAPLE AVE",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705355346",
            "telephone_number": "337-546-6500",
            "fax_number": "337-457-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAPLE AVE",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705355346",
            "telephone_number": "337-546-6500",
            "fax_number": "337-457-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY HOME MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "OGLESBY",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-546-6500"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "G0973",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1566659",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eunice, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.