Victabol Healthcare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

R3543P Issued in MD

Legal business name

VICTABOL HEALTHCARE

Practice address

4812 Liberty Heights Ave
Baltimore, MD 21207-7156

Phone

(410) 988-0758

Fax

(443) 220-0029

NPI assigned

Jul 9, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Victoor Olanrewaju Olugboja

Title

Administrator

Phone

(410) 988-0758

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1730595836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 GREENMEAD RD",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212441134",
            "telephone_number": "410-988-0758",
            "fax_number": "443-220-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 LIBERTY HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212077156",
            "telephone_number": "410-988-0758",
            "fax_number": "443-220-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTABOL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "OLUGBOJA",
        "authorized_official_first_name": "VICTOOR",
        "authorized_official_middle_name": "OLANREWAJU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-988-0758",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R3543P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan J Vice, LCPC
• Marcelino Rufino Vicente Jr., LCSW-C
• Tanzania Vicino, CNM
• Sarah Nicole Vick, MD
• Barbara Ann Vickers, M.D.
• Victoire Health Services, Inc
• Victor Onyejiaka, M.D.P.C.
• Shaneka Victor
• Victoria Medical House Calls
• Victoria'S Place

• Home Health Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.