VICTORY HEALTH CARE SERVICES LLC (NPI# 1861005035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861005035 |
| Entity Type | Organization |
| Organization Name | VICTORY HEALTH CARE SERVICES LLC |
| Practice Address |
5808 York Rd Fl 2 Baltimore MD 21212-3624 |
| Practice Telephone | 4435299099 |
| Mailing Telephone | 4435299099 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | MR. BODE AKADRI (CEO) |
| Authorized Official Telephone | 4432045144 |
| Authorized Official Credential | MPP |
| Is Organization Subpart | Y |
| Parent Organization Name | VICTORY HEALTH CARE SERVICES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| VICTORY HEALTH CARE SERVICES LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205485588 | Victory Health Care Services LLC | Counselor | 5209 York Rd Ste 2, Baltimore, MD 21212-4225 | 2019-09-09 |
| 1063910859 | Victory Health Care Services LLC | Clinic/Center | 499c Beaumont Avenue, Suite 18, Baltimore, MD 21212 | 2018-01-26 |
| 1972978716 | Victory Health Care Services LLC | Community/Behavioral Health | 5808 York Rd Fl 2, Baltimore, MD 21212-3624 | 2015-12-04 |
| 1578176731 | Victory Health Care Services LLC | Community/Behavioral Health | 5808 York Rd Fl 2, Baltimore, MD 21212-3624 | 2020-08-27 |
| 1699393744 | Victory Health Care Services LLC | Clinical Nurse Specialist | 5808 York Rd Fl 2, Baltimore, MD 21212-3624 | 2020-07-06 |
| 1083252696 | Victory Health Care Services LLC | Counselor | 5808 York Rd Fl 2, Baltimore, MD 21212-3624 | 2019-12-13 |
| Street Address |
5808 YORK RD FL 2 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21212-3624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972978716 | Victory Health Care Services LLC | Community/Behavioral Health | 5808 York Rd Fl 2, Baltimore, MD 21212-3624 | 2015-12-04 |
| 1578176731 | Victory Health Care Services LLC | Community/Behavioral Health | 5808 York Rd Fl 2, Baltimore, MD 21212-3624 | 2020-08-27 |
| 1699393744 | Victory Health Care Services LLC | Clinical Nurse Specialist | 5808 York Rd Fl 2, Baltimore, MD 21212-3624 | 2020-07-06 |
| 1083252696 | Victory Health Care Services LLC | Counselor | 5808 York Rd Fl 2, Baltimore, MD 21212-3624 | 2019-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935227 | Leigh Anne Tabernero | Counselor | 6600 York Rd Suite 110, Towson, MD 21212 | 2019-08-01 |
| 1245734250 | Jeri Michele Mankye | Counselor | 814 Radnor Ave, Baltimore, MD 21212 | 2018-03-23 |
| 1063910859 | Victory Health Care Services LLC | Clinic/Center | 499c Beaumont Avenue, Suite 18, Baltimore, MD 21212 | 2018-01-26 |
| 1063927622 | Janice Furst | Psychologist | 421 Old Trail, Baltimore, MD 21212 | 2017-12-05 |
| 1689196537 | Huber Rehabilitation Services | Counselor | 500 Woodbourne, Baltimore, MD 21212 | 2017-07-12 |
| 1639608037 | Christina Joy Antolick | Behavior Technician | 1007 Lenton Ave, Baltimore, MD 21212 | 2017-06-08 |
| 1902359979 | Miriam Trader | Speech-Language Pathologist | 500 Overbrook Road, Baltimore, MD 21212 | 2016-07-26 |
| 1497137269 | Candy Carter | Social Worker | 5900 York Rd Ste 108, Baltimore, MD 21212 | 2015-06-29 |
| 1053703298 | Cathryne L. Maciolek, Psy.d., LLC | Psychologist | 540 E. Belvedere Avenue, Suite 203, Baltimore, MD 21212 | 2015-02-25 |
| 1891034831 | Ashley Martin | Social Worker | 6401 York Road Third Floor, Towson, MD 21212 | 2013-02-12 |
| Find all providers in zip 21212 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013575638 | The Regeneration Project LLC | Clinic/Center | 2701 N Charles St Ste 401, Baltimore, MD 21218-5061 | 2019-05-29 |
| 1922597780 | Catherine Talbot Murphy | Clinic/Center | 1994 Cromwell Bridge Rd, Baltimore, MD 21234-1418 | 2018-05-08 |
| 1679073498 | Impacting Tomorrow Health Center | Clinic/Center | 1120 N Charles St Ste 500, Baltimore, MD 21201-5518 | 2018-02-19 |
| 1104326487 | Epiphany Family Services- Maryland LLC | Clinic/Center | 5900 York Rd Ste 202, Baltimore, MD 21212-3098 | 2018-02-13 |
| 1184134538 | We Did Dat Recovery Center | Clinic/Center | 609 George St, Baltimore, MD 21201-1353 | 2017-10-11 |
| 1730629486 | Plesant Housing Behavioral Services | Clinic/Center | 114 E 25th St, Baltimore, MD 21218-5214 | 2017-02-28 |
| 1801264841 | Homecentris Community Care, LLC | Clinic/Center | 3617 Fords Ln, Baltimore, MD 21215-2900 | 2015-09-08 |
| 1093183030 | Homecentris Community Care, LLC | Clinic/Center | 1500 Bedford Ave, Baltimore, MD 21208 | 2015-09-08 |
| 1831508829 | Kelli K Mccallum | Clinic/Center | 3721 Chesmont Ave, Baltimore, MD 21206-5041 | 2014-08-05 |
| 1831446574 | Collaborate Care Pharmacy & Wellness Center LLC | Clinic/Center | 3305 Garrison Blvd, Baltimore, MD 21216-1323 | 2012-08-13 |
| Find all providers in BALTIMORE | ||||
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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.