Organization Active NPI

Victor & Associates, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Sanford, NC
National Provider Identifier
1821179797
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
MHL-043-048 Issued in NC
Legal business name
VICTOR & ASSOCIATES, INC.
Practice address
1600 S Third Street
Sanford, NC 27330-4201
Phone
(919) 718-4988
Fax
(191) 718-4990
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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

Authorized official

Name
Mr. Sonny S. Persad
Title
Ceo/President
Phone
(919) 718-4988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL-043-048 NC Primary

Addresses

Primary practice location

1600 S Third Street
Sanford, NC 27330-4201

Mailing address

PO Box 261
Cameron, NC 28326-0261
Phone (919) 718-4988

Other identifiers 4

IdentifierTypeStateIssuer
3408979MedicaidNC
7805414MedicaidNC
8301169MedicaidNC
7804832MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1821179797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261",
            "city": "CAMERON",
            "state": "NC",
            "postal_code": "283260261",
            "telephone_number": "919-718-4988",
            "fax_number": "191-718-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S THIRD STREET",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304201",
            "telephone_number": "919-718-4988",
            "fax_number": "191-718-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "PERSAD",
        "authorized_official_first_name": "SONNY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "919-718-4988",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-043-048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408979",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805414",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301169",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804832",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; 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.