Organization Active NPI

Great Victory Care Inc.

  • Home Health Agency
  • District Heights, MD
National Provider Identifier
1821269531
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0711010 Issued in MD
Legal business name
GREAT VICTORY CARE INC.
Practice address
2304 Senator Ave
District Heights, MD 20747-3354
Phone
(240) 353-5656
Fax
(301) 736-2748
NPI assigned
Mar 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Mr. Moses Kwami Adejoh
Title
Presdent / Ceo
Phone
(240) 353-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0711010 MD Primary

Addresses

Primary practice location

2304 Senator Ave
District Heights, MD 20747-3354

Mailing address

2304 Senator Ave
District Heights, MD 20747-3354
Phone (240) 353-5656

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1821269531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 SENATOR AVE",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207473354",
            "telephone_number": "240-353-5656",
            "fax_number": "301-736-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 SENATOR AVE",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207473354",
            "telephone_number": "240-353-5656",
            "fax_number": "301-736-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT VICTORY CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "ADEJOH",
        "authorized_official_first_name": "MOSES",
        "authorized_official_middle_name": "KWAMI",
        "authorized_official_title_or_position": "PRESDENT / CEO",
        "authorized_official_telephone_number": "240-353-5656",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "0711010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in District Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.