VICTORY HEALTH CARE SERVICES LLC
NPI 1063910859
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Baltimore, MD
NPI Status: Active since January 26, 2018
Contact Information
499C BEAUMONT AVENUE
SUITE 18
BALTIMORE, MD
ZIP 21212
Phone: (443) 204-5144
Fax: (667) 212-2430
- Organization
- Clinic/Center
- Rehabilitation, Comprehensive Outpatient...
- CLIA Number: 21D2270729
- CLIA Cert. Type: Other - SUBSTANCE ABUSE
- CLIA Exp. Date: 10-19-2026
About VICTORY HEALTH CARE SERVICES LLC
This page provides the complete NPI Profile along with additional information for Victory Health Care Services Llc, a provider established in Baltimore, Maryland operating as a Clinic/center, focusing in rehabilitation, comprehensive outpatient rehabilitation facility (corf) . The healthcare provider is registered in the NPI registry with number 1063910859 assigned on January 2018. The practitioner's primary taxonomy code is 261QR0401X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Victory Health Care Services Llc. The authorized official of this NPI record is Bode Akadri Bed, Mmp (Program Director)
- NPI
- 1063910859
- Provider Legal Name
- VICTORY HEALTH CARE SERVICES LLC
- Other Organization Name
- VICTORY HEALTH CARE SERVICES LLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 499C BEAUMONT AVENUE SUITE 18 BALTIMORE, MD 21212
- Location Phone
- (443) 204-5144
- Location Fax
- (667) 212-2430
- Mailing Address
- 1900 E NORTHERN PKWY STE 205207 BALTIMORE, MD 21239
- Mailing Phone
- (443) 204-5144
- Mailing Fax
- (667) 212-2430
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-26-2018
- Last Update Date
- 12-10-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
- Taxonomy Code
- 261QR0401X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251S00000X | Agencies | Community/Behavioral Health |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 666466100 | MEDICAID (05) | MD | |
| 1972978716 | MEDICAID (05) | MD |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D2270729
- Facility Type
- Other - SUBSTANCE ABUSE
- Certificate Effective Date
- October 20, 2024
- Certificate Expiration Date
- October 19, 2026
- Laboratory Director
- TITILAYO RAJI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Victory Health Care Services Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063910859, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063910859, enumerated as an "organization" on January 26, 2018.
The provider is located at 499C BEAUMONT AVENUE SUITE 18 BALTIMORE, MD 21212 and the phone number is (443) 204-5144.
Clinic/Center with taxonomy code 261QR0401X and a focus in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF).
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
