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VICTORY HEALTH HOME PLLC
NPI 1487431805
Community Based Residential Treatment Facility, Mental Illness in San Tan Valley, AZ

Active since September 11, 2023
3887 E CITRINE RD, SAN TAN VALLEY, AZ 85143(602) 502-4872(480) 210-3563 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 15, 2026, Dec 20, 2024 (2 updates tracked since 2024).

About Victory Health Home Pllc NPPES

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

VICTORY HEALTH HOME PLLC (NPI 1487431805) is a healthcare organization registered as a community based residential treatment facility, mental illness in San Tan Valley, Arizona and active in the NPI registry since September 2023. The organization lists Ibukun Odutola, Dnp Ceo, as its authorized official.

NPPES Registry Identity

NPI1487431805
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameVICTORY HEALTH HOME PLLC
Location Address3887 E CITRINE RDSan Tan Valley, AZ 85143-5688
Mailing Address3887 E Citrine RdSan Tan Valley, AZ 85143-5688 · (480) 202-4597
Phone(602) 502-4872
Fax(480) 210-3563
Organization SubpartNo
Authorized OfficialIbukun OdutolaDnp Ceo · (480) 202-4597
Enumeration DateSeptember 11, 2023
Last NPPES UpdateJanuary 15, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1487431805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
3887 E CITRINE RD, San Tan Valley, AZ 85143
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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 Home PLLC's NPI number?

The NPI number for Victory Health Home PLLC is 1487431805. It was assigned to this organization in the NPPES registry on September 11, 2023.

Where is Victory Health Home PLLC located?

Victory Health Home PLLC is located at 3887 E Citrine Rd, San Tan Valley, AZ 85143. The listed phone number is (602) 502-4872.

What is Victory Health Home PLLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Victory Health Home PLLC was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.