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VICTORY HOMES LLC
NPI 1770181679
Assisted Living Facility in Brooklyn Park, MN

Active since October 13, 2020CLIA 24D2270973 · Waiver
7917 PERRY AVE N, BROOKLYN PARK, MN 55443(763) 321-1278(888) 349-5754 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 23, 2021, Oct 13, 2020 (2 updates tracked since 2020).

About Victory Homes Llc NPPES

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

VICTORY HOMES LLC (NPI 1770181679) is a healthcare organization registered as an assisted living facility in Brooklyn Park, Minnesota and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through October 24, 2026 and lists Sonie Kpanaku, Administrator, Owner, as its authorized official.

NPPES Registry Identity

NPI1770181679
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameVICTORY HOMES LLC
Location Address7917 PERRY AVE NBrooklyn Park, MN 55443-2418
Mailing Address7917 Perry Ave NBrooklyn Park, MN 55443-2418 · (763) 321-1278 · Fax (888) 349-5754
Phone(763) 321-1278
Fax(888) 349-5754
Organization SubpartNo
Authorized OfficialSonie KpanakuAdministrator, Owner · (763) 321-1278
Enumeration DateOctober 13, 2020
Last NPPES UpdateSeptember 23, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2021
✔ NPI 1770181679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Also ListedNursing CareTaxonomy 251J00000X
7917 PERRY AVE N, Brooklyn Park, MN 55443
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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 24D2270973

Victory Homes · Brooklyn Park, MN
Active · expires Oct 24, 2026
CLIA Number24D2270973
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 25, 2024
Certificate Expiration DateOctober 24, 2026
Laboratory DirectorSonie Padmore
Laboratory Phone(763) 321-1278
Laboratory LocationVictory Homes7917 Perry Ave N, Brooklyn Park, MN 55443
CLIA data matches this NPI record on: Address Name Phone
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 Homes LLC's NPI number?

The NPI number for Victory Homes LLC is 1770181679. It was assigned to this organization in the NPPES registry on October 13, 2020.

Where is Victory Homes LLC located?

Victory Homes LLC is located at 7917 Perry Ave N, Brooklyn Park, MN 55443. The listed phone number is (763) 321-1278.

What is Victory Homes LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Victory Homes LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2270973) is associated with this NPI, valid through October 24, 2026. 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 Homes LLC was last updated on September 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.