Organization Active NPI

Victory House, LLC

  • Multi-Specialty Clinic/Center
  • Watertown, WI
National Provider Identifier
1831053008
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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

Updated by the provider on Dec 12, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.