Victory Healthcare Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

26NR07390500 Issued in NJ

Legal business name

VICTORY HEALTHCARE AGENCY

Practice address

343 Tichenor Ave
South Orange, NJ 07079-2116

Phone

(201) 341-4051

Fax

(973) 327-4643

NPI assigned

Oct 20, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Doris Nonyerem Okereke

Title

Director

Phone

(201) 341-4051

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1619287802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 TICHENOR AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792116",
            "telephone_number": "201-341-4051",
            "fax_number": "973-327-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 TICHENOR AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792116",
            "telephone_number": "201-341-4051",
            "fax_number": "973-327-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY HEALTHCARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "OKEREKE",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "NONYEREM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-341-4051",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "26NR07390500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ann Vandyke, LCSW
• Vascular Access Center of South Orange LLC
• Lisa Caroline Vecchio, M.D.
• Patrice Juliet Verner, MA,LPC
• Nikole Vialet, MLSW
• Walgreen Co
• James Walker
• Stella Monday Wangai
• Kaaren Warnes, ATC
• Jillian Webber, PTA

• Home Health Agency in South Orange, NJ
• Providers in South Orange, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.