VICTORY HEALTH CARE AGENCY LLC
NPI 1306172747
Residential Treatment Facility, Physical Disabilities in Detroit, MI

Q: What is Victory Health Care Agency LLC's NPI number?

The NPI number for Victory Health Care Agency LLC is 1306172747. It was assigned to this organization in the NPPES registry on October 20, 2009.

Q: What is Victory Health Care Agency LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

Active since October 20, 2009

5555 CONNER AVE, SUITE 3247, DETROIT, MI 48213(313) 882-3303(313) 571-3304 Get Directions Write a Review

NPPES record last updated: November 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Victory Health Care Agency Llc NPPES

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

VICTORY HEALTH CARE AGENCY LLC (NPI 1306172747) is a healthcare organization registered as a residential treatment facility, physical disabilities in Detroit, Michigan and active in the NPI registry since October 2009. The organization lists Joan Dacosta, Manger, as its authorized official.

NPPES Registry Identity

NPI1306172747

Entity TypeOrganization

Primary Taxonomy320700000X

Legal Business NameVICTORY HEALTH CARE AGENCY LLC

Location Address5555 CONNER AVE, SUITE 3247Detroit, MI 48213

Mailing Address5555 Conner Ave, Suite 3247Detroit, MI 48213 · (313) 882-3303 · Fax (313) 571-3304

Phone(313) 882-3303

Fax(313) 571-3304

Organization SubpartNo

Authorized OfficialJoan DacostaManger · (313) 882-3303

Enumeration DateOctober 20, 2009

Last NPPES UpdateNovember 23, 2010

✔ NPI 1306172747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities

Taxonomy Code320700000X

License✔ Licensed in MI · 35304

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X · License 35304 (MI)

Also ListedPrivate VehicleTaxonomy 347C00000X · License 35304 (MI)

5555 CONNER AVE, Detroit, MI 48213

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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 Health Care Agency LLC's NPI number?

The NPI number for Victory Health Care Agency LLC is 1306172747. It was assigned to this organization in the NPPES registry on October 20, 2009.

Where is Victory Health Care Agency LLC located?

Victory Health Care Agency LLC is located at 5555 Conner Ave Suite 3247, Detroit, MI 48213. The listed phone number is (313) 882-3303.

What is Victory Health Care Agency LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

When was this NPI record last updated?

The NPPES record for Victory Health Care Agency LLC was last updated on November 23, 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.