NPI 1417199712 · live from the CMS NPI Registry
A Victorious Home Care
Home Health in Concord, NC. National Provider Identifier 1417199712, active.
NPI record
| NPI | 1417199712 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 135 Cabarrus Ave E, Concord, NC 28025 |
| Practice phone | 704-865-0718 |
| Mailing address | 3549 N Sharon Amity Rd Ste 301, Charlotte, NC 28205 |
| Enumerated | April 1, 2009 |
| Last updated | October 28, 2011 |
| Authorized official | Ike Ifedi, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health primary | 251E00000X | HC3794 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.