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VICTORIOUS PRP
NPI 1750036893
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Baltimore, MD

Active since February 17, 2022
2901 DRUID PARK DR STE A202, BALTIMORE, MD 21215(410) 488-5171(410) 488-5173 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2022, Feb 17, 2022 (2 updates tracked since 2022).

About Victorious Prp NPPES

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

VICTORIOUS PRP (NPI 1750036893) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Baltimore, Maryland and active in the NPI registry since February 2022. The organization lists Bosede O Adetunji Idowu, Owner, as its authorized official.

NPPES Registry Identity

NPI1750036893
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameVICTORIOUS MENTAL HEALTHCARE LLC
Location Address2901 DRUID PARK DR STE A202Baltimore, MD 21215-8131
Mailing Address2901 Druid Park Dr Ste A202Baltimore, MD 21215-8131 · (410) 488-5171 · Fax (410) 488-5173
Phone(410) 488-5171
Fax(410) 488-5173
Organization SubpartNo
Authorized OfficialBosede O Adetunji IdowuOwner · (443) 540-0338
Enumeration DateFebruary 17, 2022
Last NPPES UpdateMarch 3, 20222 updates tracked since enumeration
NPPES CertifiedMarch 3, 2022
✔ NPI 1750036893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Taxonomy Code261QR0401X
2901 DRUID PARK DR STE A202, Baltimore, MD 21215
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Other Names 1

Other NameVictorious Prp

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERRI JOHNSON
Social Worker (Clinical)
2901 DRUID PARK DR STE A202
BALTIMORE, MD 21215
Baltimore City (410) 804-2421
ESTHER CHIEDU
Nurse Practitioner (Psychiatric/Mental Health)
2901 DRUID PARK DR STE A202
BALTIMORE, MD 21215
Baltimore City (443) 540-0338
VICTORIOUS MENTAL HEALTHCARE LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2901 DRUID PARK DR STE A202
BALTIMORE, MD 21215
Baltimore City (410) 488-5171
LAURA NIKKI SHEARS COATES
Community Health Worker
2901 DRUID PARK DR STE A202
BALTIMORE, MD 21215
Baltimore City (410) 689-5057
BOSEDE O ADETUNJI IDOWU
Counselor (Mental Health)
2901 DRUID PARK DR STE A202
BALTIMORE, MD 21215
Baltimore City (410) 488-5171
D-LAITE GROUP LLC
Nurse Practitioner (Psychiatric/Mental Health)
2901 DRUID PARK DR STE A202
BALTIMORE, MD 21215
Baltimore City (443) 449-1908

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 Victorious Mental Healthcare LLC's NPI number?

The NPI number for Victorious Mental Healthcare LLC is 1750036893. It was assigned to this organization in the NPPES registry on February 17, 2022. The provider is also known as Victorious Prp.

Where is Victorious Mental Healthcare LLC located?

Victorious Mental Healthcare LLC is located at 2901 Druid Park Dr Ste A202, Baltimore, MD 21215. The listed phone number is (410) 488-5171.

What is Victorious Mental Healthcare LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

When was this NPI record last updated?

The NPPES record for Victorious Mental Healthcare LLC was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.