VICTORY BAY RESIDENTIAL SERVICES I, LLC
NPI 1609630276
Clinic/Center - Health Service in Tarzana, CA

Q: What is Victory Bay Residential Services I, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Active since February 13, 2024

19667 TRULL BROOK DR, TARZANA, CA 91356(856) 282-2028 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Victory Bay Residential Services I, Llc NPPES

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

VICTORY BAY RESIDENTIAL SERVICES I, LLC (NPI 1609630276) is a healthcare organization registered as a health service in Tarzana, California and active in the NPI registry since February 2024. The organization lists Jennifer Mellon, Director Regulatory Compliance, as its authorized official.

NPPES Registry Identity

NPI1609630276

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameVICTORY BAY RESIDENTIAL SERVICES I, LLC

Location Address19667 TRULL BROOK DRTarzana, CA 91356-5630

Mailing Address2940 Summit St Ste 2dOakland, CA 94609-3416 · (856) 282-2028

Phone(856) 282-2028

Organization SubpartNo

Authorized OfficialJennifer MellonDirector Regulatory Compliance · (856) 282-5590

Enumeration DateFebruary 13, 2024

Last NPPES UpdateSeptember 17, 2024

NPPES CertifiedSeptember 17, 2024

✔ NPI 1609630276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

19667 TRULL BROOK DR, Tarzana, CA 91356

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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 Bay Residential Services I, LLC's NPI number?

The NPI number for Victory Bay Residential Services I, LLC is 1609630276. It was assigned to this organization in the NPPES registry on February 13, 2024.

Where is Victory Bay Residential Services I, LLC located?

Victory Bay Residential Services I, LLC is located at 19667 Trull Brook Dr, Tarzana, CA 91356. The listed phone number is (856) 282-2028.

What is Victory Bay Residential Services I, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Victory Bay Residential Services I, LLC was last updated on September 17, 2024. 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.