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VICTORY GROUP HOME LLC
NPI 1639843279
Community Based Residential Treatment Facility, Mental Illness in Phoenix, AZ

Active since August 06, 2021
9127 W MINNEZONA AVE, PHOENIX, AZ 85037(469) 648-8397 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Victory Group Home Llc NPPES

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

VICTORY GROUP HOME LLC (NPI 1639843279) is a healthcare organization registered as a community based residential treatment facility, mental illness in Phoenix, Arizona and active in the NPI registry since August 2021. The organization lists Evelyne Dusabe, Administrator, as its authorized official.

NPPES Registry Identity

NPI1639843279
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameVICTORY GROUP HOME LLC
Location Address9127 W MINNEZONA AVEPhoenix, AZ 85037-2446
Mailing Address9127 W Minnezona AvePhoenix, AZ 85037-2446 · (469) 648-8397
Phone(469) 648-8397
Organization SubpartNo
Authorized OfficialEvelyne DusabeAdministrator · (469) 648-8397
Enumeration DateAugust 6, 2021
NPPES CertifiedAugust 6, 2021
✔ NPI 1639843279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
9127 W MINNEZONA AVE, Phoenix, AZ 85037
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Other Identifiers 1

OtherBH6785AZ · Bh License

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 Group Home LLC's NPI number?

The NPI number for Victory Group Home LLC is 1639843279. It was assigned to this organization in the NPPES registry on August 6, 2021.

Where is Victory Group Home LLC located?

Victory Group Home LLC is located at 9127 W Minnezona Ave, Phoenix, AZ 85037. The listed phone number is (469) 648-8397.

What is Victory Group Home LLC'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 Group Home LLC was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.