Organization Active NPI

Victory Multicare Nursing Services, Inc.

  • Nursing Care Agency
  • Douglasville, GA
National Provider Identifier
1831489459
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
048-R-0836 Issued in GA
Legal business name
VICTORY MULTICARE NURSING SERVICES, INC.
Practice address
4350 Huntcliff Trce
Douglasville, GA 30135-8428
Phone
(770) 942-8033
Fax
(770) 942-8033
NPI assigned
Apr 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Ms. Clara Okpomo, RN,BSN
Title
Ceo
Phone
(770) 942-8033

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 048-R-0836 GA Primary
In Home Supportive Care Agency 253Z00000X 048-R-0836 GA

Addresses

Primary practice location

4350 Huntcliff Trce
Douglasville, GA 30135-8428

Mailing address

4350 Huntcliff Trce
Douglasville, GA 30135-8428
Phone (770) 942-8033

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1831489459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 HUNTCLIFF TRCE",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301358428",
            "telephone_number": "770-942-8033",
            "fax_number": "770-942-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 HUNTCLIFF TRCE",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301358428",
            "telephone_number": "770-942-8033",
            "fax_number": "770-942-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY MULTICARE NURSING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "OKPOMO",
        "authorized_official_first_name": "CLARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-942-8033",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "048-R-0836",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "048-R-0836",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.