BAKER VICTORY SERVICES
NPI 1083867204
Community Based Residential Treatment Facility, Mental Illness in Lackawanna, NY

Active since October 31, 2008
790 RIDGE RD, LACKAWANNA, NY 14218(716) 828-9811 Get Directions Write a Review

NPPES record last updated: October 31, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Baker Victory Services NPPES

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

BAKER VICTORY SERVICES (NPI 1083867204) is a healthcare organization registered as a community based residential treatment facility, mental illness in Lackawanna, New York and active in the NPI registry since October 2008. The organization lists Michael Edbauer, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1083867204
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameBAKER VICTORY SERVICES
Location Address790 RIDGE RDLackawanna, NY 14218-1629
Mailing Address790 Ridge RdLackawanna, NY 14218-1629 · (716) 828-9811
Organization SubpartNo
Authorized OfficialMichael EdbauerMedical Director · (716) 828-9357
Enumeration DateOctober 31, 2008
NPI 1083867204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License Licensed in NY · F335624-1
Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

790 RIDGE RD, Lackawanna, NY 14218

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dental Hygienist
790 RIDGE RD
LACKAWANNA, NY 14218
Case Manager/Care Coordinator
790 RIDGE RD
LACKAWANNA, NY 14218
Counselor (Mental Health)
790 RIDGE RD
LACKAWANNA, NY 14218
Dental Hygienist
790 RIDGE RD
LACKAWANNA, NY 14218
Community Health Worker
790 RIDGE RD
LACKAWANNA, NY 14218
Dental Hygienist
790 RIDGE RD
LACKAWANNA, NY 14218
Community Health Worker
790 RIDGE RD
LACKAWANNA, NY 14218
Community Health Worker
790 RIDGE RD
LACKAWANNA, NY 14218

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 Baker Victory Services's NPI number?

The NPI number for Baker Victory Services is 1083867204. It was assigned to this organization in the NPPES registry on October 31, 2008.

Where is Baker Victory Services located?

Baker Victory Services is located at 790 Ridge Rd, Lackawanna, NY 14218. The listed phone number is (716) 828-9811.

What is Baker Victory Services's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Baker Victory Services was last updated on October 31, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.