Organization Active NPI

Victorious LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1770006496
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VICTORIOUS LLC
Practice address
2225 E Flamingo Rd Ste 204
Las Vegas, NV 89119-5127
Phone
(702) 723-0125
Fax
(702) 323-0898
NPI assigned
Jul 25, 2017
Last updated
Mar 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Authorized official

Name
Edith UkanwokeNPI 1568701092
Title
Owner
Phone
(702) 723-0125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2225 E Flamingo Rd Ste 204
Las Vegas, NV 89119-5127

Mailing address

2225 E Flamingo Rd Ste 204
Las Vegas, NV 89119-5127

Other names 1

  • Victorious Behavioral Health Services Former legal business name

National Provider Directory

National Provider Directory

Locations

2225 E Flamingo Rd
Ste 204
Las Vegas, NV 89119
Phone (702) 586-9011

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1770006496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 E FLAMINGO RD STE 204",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 E FLAMINGO RD STE 204",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195127",
            "telephone_number": "702-723-0125",
            "fax_number": "702-323-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIOUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "UKANWOKE",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-723-0125"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victorious Behavioral Health Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.