VICTORY HEALTHCARE SERVICES, INC (NPI# 1407040785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407040785 |
| Entity Type | Organization |
| Organization Name | VICTORY HEALTHCARE SERVICES, INC |
| Practice Address |
3716 Summer Pl Raleigh NC 27604-4252 |
| Mailing Address |
Po Box 20738 Raleigh NC 27619-0738 |
| Practice Telephone | 9193768521 |
| Practice Fax Number | 9198031149 |
| Mailing Telephone | 9193768521 |
| Mailing Fax Number | 9198031149 |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |
| Authorized Official Name | MR. CHRIS ADIEWERE IRONA (ADMINISTRATOR) |
| Authorized Official Telephone | 9193768521 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
3716 SUMMER PL |
| City | RALEIGH |
| State | NC |
| Zip Code | 27604-4252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326669748 | Monet Josey | Counselor | 3020 Highwood Blvd, Raleigh, NC 27604 | 2020-04-27 |
| 1154979094 | Ride4health Transportation Inc | Non-emergency Medical Transport (VAN) | 3200 Capital Blvd, Raleigh, NC 27604 | 2019-09-03 |
| 1851890750 | Sasilana Letreva Burden | In Home Supportive Care | 4000 Northstone Drive Apt 307, Raleigh, NC 27604 | 2018-02-06 |
| 1093226383 | The Eye Institute Od, Pa | Optometrist | 111 Seaboard Ave Ste 110, Raleigh, NC 27604 | 2017-10-13 |
| 1902326044 | Ngozi Ifeoma Osiebo | Nurse Practitioner | 4608 Wedgewood Drive, Raleigh, NC 27604 | 2017-06-20 |
| 1144765520 | Rose Hill Family Care Home | Custodial Care Facility | 1705 Beacon Bluff Street, Raleigh, NC 27604 | 2016-12-21 |
| 1437609948 | Mercy Manor At Saybrooke, Inc | Custodial Care Facility | 6320 Saybrooke Drive, Raleigh, NC 27604 | 2016-10-07 |
| 1972969913 | Shivas Gilotra | Nurse Practitioner | 805 Oberlin Road, Ste 200, Raleigh, NC 27604 | 2016-01-06 |
| 1609247915 | Charisse Justine Young | Social Worker | 2609 Atlantic Avenue, Suite 111c, Raleigh, NC 27604 | 2015-10-13 |
| 1356748933 | John T Hart | Counselor | 1115-113 Cove Bridge Road, Raleigh, NC 27604 | 2014-11-26 |
| Find all providers in zip 27604 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710540984 | Dandelion Counseling Services Pllc | Clinic/Center | 4909 Waters Edge Dr Ste 100d, Raleigh, NC 27606-2462 | 2019-04-15 |
| 1730576992 | Harrison Group Homes LLC | Clinic/Center | 2609 Fernbrook Rd, Raleigh, NC 27610-3507 | 2015-04-24 |
| 1144586827 | Region Ten Commission On Mental Health | Clinic/Center | 355 Hwy 37 South, Raleigh, MS 39153-0355 | 2012-04-06 |
| 1013243583 | Heaven Sent | Clinic/Center | 3112 Berry Court., Raleigh, NC 27610 | 2009-10-19 |
| 1457519514 | Adolescent,child & Adult Psychiatry | Clinic/Center | 4041 Ed Dr # 108, Raleigh, NC 27612-8089 | 2008-05-27 |
| 1033383963 | Compassionate Place Home Inc. | Clinic/Center | 3401 Sheryl Dr, Raleigh, NC 27604-4152 | 2008-04-22 |
| 1114127024 | Northridge Psychological Service PC | Clinic/Center | 2301 Stonehenge Dr Ste 202, Raleigh, NC 27615-4378 | 2007-07-19 |
| 1841327525 | Lindas Family Care Home | Clinic/Center | 816 Peyton Street, Raleigh, NC 27610-3544 | 2007-02-28 |
| 1386771657 | Cottage Health Care Services, Inc | Clinic/Center | 3826 Bland Rd, Raleigh, NC 27609-6239 | 2007-02-27 |
| 1043346273 | Worthdale Family Care | Clinic/Center | 933 Friar Tuck Rd, Raleigh, NC 27610-3634 | 2007-02-23 |
| Find all providers in RALEIGH | ||||
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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.