VICTORY PALACE
NPI 1104126754
Custodial Care Facility - Adult Care Home in Grand Rapids, MI

Q: What is Victory Palace's NPI number?

The NPI number for Victory Palace is 1104126754. It was assigned to this organization in the NPPES registry on October 29, 2010.

Q: What is Victory Palace's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Q: When was this NPI record last updated?

The NPPES record for Victory Palace was last updated on October 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since October 29, 2010

908 COLLEGE AVE NE, GRAND RAPIDS, MI 49503(616) 214-8155(616) 214-8155 Get Directions Write a Review

NPPES record last updated: October 29, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Victory Palace NPPES

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

VICTORY PALACE (NPI 1104126754) is a healthcare organization registered as an adult care home in Grand Rapids, Michigan and active in the NPI registry since October 2010. The organization lists Ime Etuk, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1104126754

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameVICTORY PALACE

Location Address908 COLLEGE AVE NEGrand Rapids, MI 49503-1751

Mailing Address908 College Ave NeGrand Rapids, MI 49503-1751 · (616) 214-8155 · Fax (616) 214-8155

Phone(616) 214-8155

Fax(616) 214-8155

Organization SubpartNo

Authorized OfficialIme EtukManaging Director · (616) 881-3843

Enumeration DateOctober 29, 2010

✔ NPI 1104126754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in MI · AF410306794

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

908 COLLEGE AVE NE, Grand Rapids, MI 49503

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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 Victory Palace's NPI number?

The NPI number for Victory Palace is 1104126754. It was assigned to this organization in the NPPES registry on October 29, 2010.

Where is Victory Palace located?

Victory Palace is located at 908 College Ave NE, Grand Rapids, MI 49503. The listed phone number is (616) 214-8155.

What is Victory Palace's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Victory Palace was last updated on October 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.