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Contact Information

VICTORY HOME HEALTH CARE, LLC
1519 WEST GARRISON BLVD
GASTONIA, NC28052
 Phone: 980-289-1274
 Fax: 980-289-1302
 Website: https://victoryhomehc.com
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for VICTORY HOME HEALTH CARE, LLC

NPI # 1508301185
LBN Legal business name VICTORY HOME HEALTH CARE, LLC
Authorized official DEBRA OKOWA - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/05/2017
Last updated 11/02/2023 - About 3 years ago
Identifiers
NC License # HC3021
NC Medicaid HC3021
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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