VICTORY COLLEGIATE ACADEMY CORP. (NPI# 1215586748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215586748 |
Entity Type | Organization |
Organization Name | VICTORY COLLEGIATE ACADEMY CORP. |
Practice Address |
3535 N 63rd Ave Phoenix AZ 85033-4503 |
Mailing Address |
3838 N Central Ave Ste 1600 Phoenix AZ 85012-1950 |
Practice Telephone | 6238109781 |
Practice Fax Number | 6239262748 |
Mailing Telephone | 8003544881 |
Mailing Fax Number | 6029262445 |
Enumeration Date | 2019-09-07 |
Last Update Date | 2019-09-07 |
Authorized Official Name | MICHELLE GENTRY (CREDENTIALING SPECIALIST) |
Authorized Official Telephone | 8003544881 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251300000X | Local Education Agency (LEA) | Agencies |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | VICTORY COLLEGIATE ACADEMY CORPORATION | 3535 N 63rd Ave, Phoenix, AZ 85033-4503 |
Street Address |
3535 N 63RD AVE |
City | PHOENIX |
State | AZ |
Zip Code | 85033-4503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376162073 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4136 North 75th Ave, Suite 116, Room P, Phoenix, AZ 85033 | 2020-04-13 |
1942849146 | Risas O.s. Dental Partners Az LLC | Dentist | 7442 W. Thomas Rd., Phoenix, AZ 85033 | 2020-01-06 |
1326458555 | Norman Loya | Private Vehicle | 7620 W Wolf St, Phoenix, AZ 85033 | 2014-04-28 |
1598188641 | Arlena Lawrence | Health Educator | 6602 W. Osborn Rd., Phoenix, AZ 85033 | 2014-01-27 |
1083921076 | Beth Marie Elia | Psychologist | 6601 W. Thomas Rd., Phoenix, AZ 85033 | 2010-09-12 |
1720317647 | Nguyen Quoc Tang | Pharmacist | 8325 W Indian Schood Rd, Phoenix, AZ 85033 | 2009-12-24 |
1760635775 | Sarah Bess Stauffer | Occupational Therapist | 3401 N. 67th Ave, Phoenix, AZ 85033 | 2008-11-04 |
1578748968 | Pain and Rehab Consultants LLC | Pain Medicine | 7400 W Indian School Rd, 114, Phoenix, AZ 85033 | 2008-01-03 |
1902023930 | Smile Dental Group | Dentist | 6524 W Indian School Road, Suite A, Phoenix, AZ 85033 | 2007-04-19 |
1801955067 | Reva Mae Mckenzie | Technician | 4615 No 82nd Lane, Phoenix, AZ 85033 | 2006-12-06 |
Find all providers in zip 85033 |
Taxonomy Code | 251300000X |
Grouping | Agencies |
Classification | Local Education Agency (LEA) |
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174186845 | Fit Kids, Inc. | Local Education Agency (LEA) | 7900 S Jesse Owens Pkwy, Phoenix, AZ 85042-6523 | 2019-04-18 |
1982164166 | South Phoenix Prep and Arts Academy | Local Education Agency (LEA) | 7450 S 40th St, Phoenix, AZ 85042-6351 | 2019-03-22 |
1225595010 | Pioneer Preparatory Academy | Local Education Agency (LEA) | 6510 W Clarendon Ave, Phoenix, AZ 85033-4001 | 2019-02-27 |
1396220224 | The Paideia Academies Inc | Local Education Agency (LEA) | 7777 S 15th Ter, Phoenix, AZ 85042-6754 | 2018-09-26 |
1043600885 | Phoenix Collegaitae Academy Inc | Local Education Agency (LEA) | 5610 S Central Ave, Phoenix, AZ 85040-3090 | 2015-02-02 |
1376932103 | Arizona Autism Charter Schools, Inc. | Local Education Agency (LEA) | 4433 N 7th St, Phoenix, AZ 85014-4139 | 2015-01-16 |
1699029652 | Monte Vista School | Local Education Agency (LEA) | 3501 E. Osborn Road, Phoenix, AZ 85018 | 2012-10-30 |
1902164429 | Phoenix Central Schools | Local Education Agency (LEA) | 116 Volney St, Phoenix, NY 13135-3103 | 2012-05-03 |
1568798304 | Phoenix Education Management, L.L.C. | Local Education Agency (LEA) | 1903 E Roeser Rd, Phoenix, AZ 85040-3341 | 2009-10-29 |
1114251022 | Creighton School District | Local Education Agency (LEA) | 2702 E. Flower St, Phoenix, AZ 85016 | 2009-09-24 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.