1. Home
  2. Directory
  3. Michigan
  4. Jackson
  5. Assisted Living Facility
  6. NPI Profile

VICTORIAN VILLA ASSISTED LIVING LLC
NPI 1386124550
Assisted Living Facility in Jackson, MI

Active since August 17, 2018
5585 BROOKLYN RD SOUTH, JACKSON, MI 49201(517) 764-4163 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Victorian Villa Assisted Living Llc NPPES

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

VICTORIAN VILLA ASSISTED LIVING LLC (NPI 1386124550) is a healthcare organization registered as an assisted living facility in Jackson, Michigan and active in the NPI registry since August 2018. The organization maintains a secondary practice location in Jackson and lists Linda M West, Administrator, as its authorized official.

NPPES Registry Identity

NPI1386124550
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameVICTORIAN VILLA ASSISTED LIVING LLC
Location Address5585 BROOKLYN RD SOUTHJackson, MI 49201-8570
Mailing Address5585 Brooklyn RdJackson, MI 49201-8570 · (517) 764-4163
Phone(517) 764-4163
Organization SubpartNo
Authorized OfficialLinda M WestAdministrator · (517) 315-1725
Enumeration DateAugust 17, 2018
✔ NPI 1386124550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MI · AM380392463
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
5585 BROOKLYN RD SOUTH, Jackson, MI 49201
Open in Google Maps ↗

Secondary Practice Location 1

Location 15585 Brooklyn RdJackson, MI 49201-8570 · Phone (517) 764-4163

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 Victorian Villa Assisted Living LLC's NPI number?

The NPI number for Victorian Villa Assisted Living LLC is 1386124550. It was assigned to this organization in the NPPES registry on August 17, 2018.

Where is Victorian Villa Assisted Living LLC located?

Victorian Villa Assisted Living LLC is located at 5585 Brooklyn Rd South, Jackson, MI 49201. The listed phone number is (517) 764-4163.

What is Victorian Villa Assisted Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Victorian Villa Assisted Living LLC was last updated on August 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.