Victory Health Care

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

VICTORY HEALTH CARE

Practice address

24151 Russell Ave
Euclid, OH 44123-2306

Phone

(216) 512-2473

NPI assigned

Apr 17, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Lolita Wallace

Title

Ceo

Phone

(216) 512-2473

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1659125474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32646",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441320646",
            "telephone_number": "216-512-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24151 RUSSELL AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441232306",
            "telephone_number": "216-512-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "LOLITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-512-2473",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Matthew Ventura, PHARMD
• Dianne R Vermilya
• Fiero Nicole Vernon
• Paula Vetturini, LSW
• Viceroy Transportation LTD
• Village of Healing
• Carla Vincent
• Lamicka Vines
• Marita A. Volk, M.D.
• Kathleen Erin Vuraich, AGACNP-BC

• Supports Brokerage Agency in Euclid, OH
• Providers in Euclid, OH by specialty
• Supports Brokerage Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.