National Provider Identifier Database

VICTORY HOME HEALTH CARE LLC
In Home Supportive Care

An In Home Supportive Care Agency provides services in the patient?s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.


Contact Information

VICTORY HOME HEALTH CARE, LLC
1519 WEST GARRISON BLVD
GASTONIA, NC28052
Phone: 980-289-1274
Fax: 980-289-1302
Specialty Taxonomy Code
* In Home Supportive Care 253Z00000X
Nursing Care 251J00000X

* Indicates primary specialty

NPI Profile & details for VICTORY HOME HEALTH CARE, LLC

NPI Number 1508301185
Legal business name
LBN
VICTORY HOME HEALTH CARE, LLC
Authorized official DEBRA OKOWA - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 01/05/2017
Last updated 11/02/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: HC3021
  • NC Medicaid: HC3021

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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