VICTORY RESIDENTIAL CORPORATION
NPI 1396420469
Substance Abuse Rehabilitation Facility in San Tan Valley, AZ

Q: What is Victory Residential Corporation's NPI number?

The NPI number for Victory Residential Corporation is 1396420469. It was assigned to this organization in the NPPES registry on June 16, 2023.

Q: What is Victory Residential Corporation's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since June 16, 2023

1566 E JEANNE LN, SAN TAN VALLEY, AZ 85140(612) 636-3194 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2023, Jun 16, 2023 (2 updates tracked since 2023).

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About Victory Residential Corporation NPPES

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

VICTORY RESIDENTIAL CORPORATION (NPI 1396420469) is a healthcare organization registered as a substance abuse rehabilitation facility in San Tan Valley, Arizona and active in the NPI registry since June 2023. The organization lists Xavier Alexander Davis, Owner / Ceo, as its authorized official.

NPPES Registry Identity

NPI1396420469

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameVICTORY RESIDENTIAL CORPORATION

Location Address1566 E JEANNE LNSan Tan Valley, AZ 85140-4046

Mailing Address1566 E Jeanne LnSan Tan Valley, AZ 85140-4046 · (612) 636-3194

Phone(612) 636-3194

Organization SubpartNo

Authorized OfficialXavier Alexander DavisOwner / Ceo · (612) 636-3194

Enumeration DateJune 16, 2023

Last NPPES UpdateJune 19, 20232 updates tracked since enumeration

NPPES CertifiedJune 19, 2023

✔ NPI 1396420469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

1566 E JEANNE LN, San Tan Valley, AZ 85140

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Residential Corporation's NPI number?

The NPI number for Victory Residential Corporation is 1396420469. It was assigned to this organization in the NPPES registry on June 16, 2023.

Where is Victory Residential Corporation located?

Victory Residential Corporation is located at 1566 E Jeanne Ln, San Tan Valley, AZ 85140. The listed phone number is (612) 636-3194.

What is Victory Residential Corporation's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Victory Residential Corporation was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.