VICTORY COLLEGIATE ACADEMY CORP.
NPI 1215586748
Local Education Agency (LEA) in Phoenix, AZ

Active since September 07, 2019
3535 N 63RD AVE, PHOENIX, AZ 85033(623) 810-9781(623) 926-2748 Get Directions Write a Review

NPPES record last updated: September 7, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Local Education Agency (LEA)

About VICTORY COLLEGIATE ACADEMY CORP.

This page provides the complete NPI Profile along with additional information for Victory Collegiate Academy Corp., a provider established in Phoenix, Arizona operating as a Local Education Agency (lea). The healthcare provider is registered in the NPI registry with number 1215586748 assigned on September 2019. The practitioner's primary taxonomy code is 251300000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Michelle Gentry (Credentialing Specialist)

NPI
1215586748 Verify this NPI
Provider Name
VICTORY COLLEGIATE ACADEMY CORP.
Entity Type
Organization
Location Address
3535 N 63RD AVE PHOENIX, AZ 85033
Location Phone
(623) 810-9781
Location Fax
(623) 926-2748
Mailing Address
3838 N CENTRAL AVE STE 1600 PHOENIX, AZ 85012
Mailing Phone
(800) 354-4881
Mailing Fax
(602) 926-2445
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-07-2019
Last Update Date
09-07-2019
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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

Local Education Agency (LEA)

Taxonomy Code
251300000X
Type
Agencies
Taxonomy Description
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHELLE GENTRY

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(800) 354-4881

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215586748, enumerated as an "organization" on September 07, 2019.

The provider is located at 3535 N 63RD AVE PHOENIX, AZ 85033 and the phone number is (623) 810-9781.

Local Education Agency (LEA) with taxonomy code 251300000X.