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VICTORY HOME HEALTH CARE LLC
NPI 1427739770
Home Health in Saint Paul, MN

Active since July 28, 2023CLIA 24D2330776 · Waiver
1582 POINT DOUGLAS RD S, SAINT PAUL, MN 55119(651) 398-5708 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2023, Oct 9, 2023, Jul 28, 2023 (3 updates tracked since 2023).

About Victory Home Health Care Llc NPPES

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

VICTORY HOME HEALTH CARE LLC (NPI 1427739770) is a healthcare organization registered as a home health in Saint Paul, Minnesota and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through September 22, 2027 and lists Yillah Eli Kargbo, Director Of Nursing, as its authorized official.

NPPES Registry Identity

NPI1427739770
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameVICTORY HOME HEALTH CARE LLC
Location Address1582 POINT DOUGLAS RD SSaint Paul, MN 55119-6006
Mailing Address1582 Point Douglas Rd SSaint Paul, MN 55119-6006 · (651) 398-5708
Phone(651) 398-5708
Organization SubpartNo
Authorized OfficialYillah Eli KargboDirector Of Nursing · (651) 398-5708
Enumeration DateJuly 28, 2023
Last NPPES UpdateNovember 14, 20233 updates tracked since enumeration
NPPES CertifiedOctober 9, 2023
✔ NPI 1427739770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedAssisted Living FacilityTaxonomy 310400000X
1582 POINT DOUGLAS RD S, Saint Paul, MN 55119
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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 24D2330776

Victory Home Health Care LLC · Saint Paul, MN
Active · expires Sep 22, 2027
CLIA Number24D2330776
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 23, 2025
Certificate Expiration DateSeptember 22, 2027
Laboratory DirectorSamlina Cawray
Laboratory Phone(651) 528-6665
Laboratory LocationVictory Home Health Care LLC1582 Point Douglas Rd S, Saint Paul, MN 55119
CLIA data matches this NPI record on: Address Name
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 Home Health Care LLC's NPI number?

The NPI number for Victory Home Health Care LLC is 1427739770. It was assigned to this organization in the NPPES registry on July 28, 2023.

Where is Victory Home Health Care LLC located?

Victory Home Health Care LLC is located at 1582 Point Douglas Rd S, Saint Paul, MN 55119. The listed phone number is (651) 398-5708.

What is Victory Home Health Care LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Victory Home Health Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2330776) is associated with this NPI, valid through September 22, 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 Home Health Care LLC was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.