ATRIUM VICTORIA HOME, INC
NPI 1073264693
Assisted Living Facility - Assisted Living, Mental Illness in Montgomery Village, MD

Active since January 14, 2022
9704 INAUGURAL WAY, MONTGOMERY VILLAGE, MD 20886(301) 963-8434(301) 963-8410 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Atrium Victoria Home, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATRIUM VICTORIA HOME, INC (NPI 1073264693), doing business as Victoria Home, is a healthcare organization registered as an assisted living, mental illness in Montgomery Village, Maryland and active in the NPI registry since January 2022. The organization lists Raju Datla, Director, as its authorized official.

NPPES Registry Identity

NPI1073264693
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameATRIUM VICTORIA HOME, INC
Location Address9704 INAUGURAL WAYMontgomery Village, MD 20886-3157
Mailing Address14920 Old Columbia PikeBurtonsville, MD 20866-1610 · (240) 305-3484 · Fax (301) 476-7544
Fax(301) 963-8410
Organization SubpartNo
Authorized OfficialRaju DatlaDirector · (240) 305-3484
Enumeration DateJanuary 14, 2022
NPPES CertifiedJanuary 14, 2022
NPI 1073264693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
9704 INAUGURAL WAY, Montgomery Village, MD 20886

Other Names 1

Doing Business AsVictoria Home

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Atrium Victoria Home, Inc's NPI number?

The NPI number for Atrium Victoria Home, Inc is 1073264693. It was assigned to this organization in the NPPES registry on January 14, 2022. The provider is doing business as Victoria Home.

Where is Atrium Victoria Home, Inc located?

Atrium Victoria Home, Inc is located at 9704 Inaugural Way, Montgomery Village, MD 20886. The listed phone number is (301) 963-8434.

What is Atrium Victoria Home, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Atrium Victoria Home, Inc was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.