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VICTORY HOME HEALTH CARE, LLC
NPI 1508301185
In Home Supportive Care in Gastonia, NC

Active since January 05, 2017CLIA 34D2324811 · Waiver
1519 W GARRISON BLVD, GASTONIA, NC 28052(704) 759-4225(980) 289-1302 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2023, Jan 5, 2017 (2 updates tracked since 2017).

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 1508301185) is a healthcare organization registered as an in home supportive care in Gastonia, North Carolina and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through June 1, 2027 and lists Debra N Okowa, Director, as its authorized official.

NPPES Registry Identity

NPI1508301185
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameVICTORY HOME HEALTH CARE, LLC
Location Address1519 W GARRISON BLVDGastonia, NC 28052-3671
Mailing Address8501 Tower Point DrCharlotte, NC 28227-7849 · (704) 841-0203
Phone(704) 759-4225
Fax(980) 289-1302
Organization SubpartNo
Authorized OfficialDebra N OkowaDirector · (980) 418-8225
Enumeration DateJanuary 5, 2017
Last NPPES UpdateNovember 2, 20232 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
✔ NPI 1508301185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
License✔ Licensed in NC · HC3021
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Also ListedNursing CareTaxonomy 251J00000X · License HC3021 (NC)
1519 W GARRISON BLVD, Gastonia, NC 28052
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Other Identifiers 1

MedicaidHC3021NC

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 34D2324811

Victory Home Health Care · Gastonia, NC
Active · expires Jun 1, 2027
CLIA Number34D2324811
Laboratory TypeHospice
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorDeborah N. Okowa
Laboratory Phone(908) 418-8225
Laboratory LocationVictory Home Health Care1519 Westgarrison Blvd, Gastonia, NC 28052
CLIA data matches this NPI record on: 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 1508301185. It was assigned to this organization in the NPPES registry on January 5, 2017.

Where is Victory Home Health Care, LLC located?

Victory Home Health Care, LLC is located at 1519 W Garrison Blvd, Gastonia, NC 28052. The listed phone number is (704) 759-4225.

What is Victory Home Health Care, LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

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

Yes. A Certificate of Waiver (number 34D2324811) is associated with this NPI, valid through June 1, 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 2, 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.