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VICTORY CENTRE OF JOLIET LLC
NPI 1417144775
Assisted Living Facility in Joliet, IL

Active since October 01, 2007CLIA 14D2214112 · Waiver
29 N BROADWAY, JOLIET, IL 60435(815) 724-0308(815) 723-2956 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2024, Apr 11, 2019 (2 updates tracked since 2019).

About Victory Centre Of Joliet Llc NPPES

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

VICTORY CENTRE OF JOLIET LLC (NPI 1417144775) is a healthcare organization registered as an assisted living facility in Joliet, Illinois and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through February 18, 2027 and lists Greg Echols, Co-president Of Gardant Management, as its authorized official.

NPPES Registry Identity

NPI1417144775
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameVICTORY CENTRE OF JOLIET LLC
Location Address29 N BROADWAYJoliet, IL 60435-7400
Mailing Address200 E Court St Ste 400Kankakee, IL 60901-3848 · (815) 935-1992 · Fax (815) 935-8380
Phone(815) 724-0308
Fax(815) 723-2956
Organization SubpartNo
Authorized OfficialGreg EcholsCo-president Of Gardant Management · (779) 216-5849
Enumeration DateOctober 1, 2007
Last NPPES UpdateSeptember 18, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1417144775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
29 N BROADWAY, Joliet, IL 60435
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2214112

Victory Centre Of Joliet · Joliet, IL
Active · expires Feb 18, 2027
CLIA Number14D2214112
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorEarl E. Van Dusen
Laboratory Phone(815) 724-0308
Laboratory LocationVictory Centre Of Joliet29 N Broadway, Joliet, IL 60435
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Centre Of Joliet LLC's NPI number?

The NPI number for Victory Centre Of Joliet LLC is 1417144775. It was assigned to this organization in the NPPES registry on October 1, 2007.

Where is Victory Centre Of Joliet LLC located?

Victory Centre Of Joliet LLC is located at 29 N Broadway, Joliet, IL 60435. The listed phone number is (815) 724-0308.

What is Victory Centre Of Joliet LLC's specialty?

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

Does Victory Centre Of Joliet LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2214112) is associated with this NPI, valid through February 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Victory Centre Of Joliet LLC was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.