Organization Active NPI

Victory Life Services, Inc.

  • Clinic/Center
  • Chaparral, NM
National Provider Identifier
1962385922
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VICTORY LIFE SERVICES, INC.
Practice address
300 Paloma Blanca Dr
Chaparral, NM 88081-7949
Phone
(575) 251-3801
NPI assigned
Jul 28, 2025
Last updated
Jul 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Anthony Contreras
Title
Chief Technology Officer
Phone
(915) 929-3534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

300 Paloma Blanca Dr
Chaparral, NM 88081-7949

Mailing address

300 Paloma Blanca Dr
Chaparral, NM 88081-7949
Phone (575) 251-3801

National Provider Directory

National Provider Directory

Locations

300 Paloma Blanca Dr
Chaparral, NM 88081
Phone (575) 251-3801

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1962385922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PALOMA BLANCA DR",
            "city": "CHAPARRAL",
            "state": "NM",
            "postal_code": "880817949",
            "telephone_number": "575-251-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PALOMA BLANCA DR",
            "city": "CHAPARRAL",
            "state": "NM",
            "postal_code": "880817949",
            "telephone_number": "575-251-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY LIFE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CHIEF TECHNOLOGY OFFICER",
        "authorized_official_telephone_number": "915-929-3534"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaparral, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.