Victory Health System, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

022-R-1503 Issued in GA

Legal business name

VICTORY HEALTH SYSTEM, INC.

Practice address

4 E Washington St Ste B6
Newnan, GA 30263-1933

Phone

(470) 274-0001

Fax

(470) 274-0002

NPI assigned

Mar 4, 2016

Organization subpart

No

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

Authorized official

Name

Leona N Amadi

Title

Administrator

Phone

(470) 274-0001

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1982064895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E WASHINGTON ST STE B6",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631933",
            "telephone_number": "470-274-0001",
            "fax_number": "470-274-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E WASHINGTON ST STE B6",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631933",
            "telephone_number": "470-274-0001",
            "fax_number": "470-274-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "AMADI",
        "authorized_official_first_name": "LEONA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "470-274-0001"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "022-R-1503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.