Victory Human Services

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

VC6000189457 Issued in MA

Legal business name

VICTORY HUMAN SERVICES

Practice address

461 Washington St
Dorchester Center, MA 02124-2039

Phone

(617) 474-9699

NPI assigned

Jul 14, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Albert T Senesie, ED.M

Title

President/Ceo

Phone

(617) 474-9699

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1679861413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 WASHINGTON ST",
            "address_2": "PO BOX 240934",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021242039",
            "telephone_number": "617-474-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 WASHINGTON ST",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021242039",
            "telephone_number": "617-474-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "SENESIE",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "617-474-9699",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ED.M"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MA",
            "license": "VC6000189457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09041956",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary L Taylor, M.D.
• Sara A Tepperberg, MD
• Thomas J Kenney MD Inc
• Van Bach Tran
• Juan C Vera, M.D.
• Huy Linh Vu, M.D.
• Pamela Michelle Wallace
• Furman M Walls III, MD
• Ward and Smith Partnership
• Derek Washington

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Dorchester Center, MA
• Providers in Dorchester Center, MA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.