VICTORIA HEALTH SERVICES LLC – NPI #1558600619
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

VICTORIA HEALTH SERVICES LLC is a community based residential treatment facility located in CORDOVA, TN. NPPES has assigned the NPI number 1558600619 to VICTORIA HEALTH SERVICES LLC on February 10, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VICTORIA HEALTH SERVICES LLC below.

NPI Profile for
VICTORIA HEALTH SERVICES LLC

NPI Number
1558600619
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VICTORIA HEALTH SERVICES LLC
Primary location
1951 CHARTRIDGE DR
CORDOVA, TN 38016-2385
Phone: (901) 606-6352 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DANIEL OKELLO
BEHAVIOR ANALYST
Phone: (901) 606-6352
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.