NPIMap

Organization Active NPI

Victory Health Care Services LLC

  • Community Psychiatric/Mental Health Clinical Nurse Specialist
  • Baltimore, MD
National Provider Identifier
1699393744
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0812X
Legal business name
VICTORY HEALTH CARE SERVICES LLC
Doing business as
Victory Health Care Services LLC
Practice address
5808 York Rd FL 2
Baltimore, MD 21212-3624
Phone
(443) 204-5144
Fax
(410) 617-8478
NPI assigned
Jul 6, 2020
Last updated
Dec 10, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
VICTORY HEALTH CARE SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Mr. Bode Akadri
Title
Ceo
Phone
(443) 204-5144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0812X Primary

Addresses

Primary practice location

5808 York Rd FL 2
Baltimore, MD 21212-3624

Mailing address

1900 E Northern Pkwy Ste 205207
Baltimore, MD 21239-2113
Phone (443) 204-5144

Other practice location 1

5808 York Rd Fl 2
Baltimore, MD 21212-3624
Phone (443) 204-5144

Other names 1

  • VICTORY HEALTH CARE SERVICES LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Bakadri@vhcsllc.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Victory Health Care Services LLC8 organizations share this tax ID, including this one
Part of
Victory Health Care Services LLC

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1699393744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E NORTHERN PKWY STE 205207",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392113",
            "telephone_number": "443-204-5144",
            "fax_number": "410-617-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808 YORK RD FL 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123624",
            "telephone_number": "443-204-5144",
            "fax_number": "410-617-8478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5808 York Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212123624",
            "country_code": "US",
            "telephone_number": "443-204-5144",
            "fax_number": "410-617-8478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VICTORY HEALTH CARE SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VICTORY HEALTH CARE SERVICES LLC",
        "enumeration_date": "2020-07-06",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "AKADRI",
        "authorized_official_first_name": "BODE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-204-5144",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "364SP0812X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Community",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bakadri@vhcsllc.com",
            "affiliation": "N",
            "endpointDescription": "Out patient mental health clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5808 York Rd Fl 2",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212123624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "VICTORY HEALTH CARE SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VICTORY HEALTH CARE SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.