Active NPI
Victory House, LLC
- Multi-Specialty Clinic/Center
- Watertown, WI
National Provider Identifier
1831053008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- VICTORY HOUSE, LLC
- Practice address
- 481 S Concord Ave
Watertown, WI 53094-7307 - Phone
- (414) 841-2972
- NPI assigned
- Dec 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany Sanchez
- Title
- Program & Operations Analyst
- Phone
- (414) 858-4141
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
481 S Concord Ave
Watertown, WI 53094-7307
Mailing address
217 Wisconsin Ave Ste 201
Waukesha, WI 53186-4946
Phone (414) 841-2972
National Provider Directory
National Provider DirectoryLocations
217 Wisconsin Ave
Ste 201
Waukesha, WI 53186
Phone (414) 301-6386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765497600000",
"number": "1831053008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 WISCONSIN AVE STE 201",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531864946",
"telephone_number": "414-841-2972",
"fax_number": "414-375-6099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 S CONCORD AVE",
"city": "WATERTOWN",
"state": "WI",
"postal_code": "530947307",
"telephone_number": "414-841-2972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTORY HOUSE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-12",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A",
"authorized_official_last_name": "SANCHEZ",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "PROGRAM & OPERATIONS ANALYST",
"authorized_official_telephone_number": "414-858-4141"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.