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VICTORY PROVIDER LLC
NPI 1821977547
Day Training, Developmentally Disabled Services in Gainesville, FL

Active since August 27, 2025
6921 NW 22ND ST STE 1, GAINESVILLE, FL 32653(352) 215-7964 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Victory Provider Llc NPPES

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

VICTORY PROVIDER LLC (NPI 1821977547) is a healthcare organization registered as a day training, developmentally disabled services in Gainesville, Florida and active in the NPI registry since August 2025. The organization lists Kamaria Jenkins, Ceo, as its authorized official.

NPPES Registry Identity

NPI1821977547
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameVICTORY PROVIDER LLC
Location Address6921 NW 22ND ST STE 1Gainesville, FL 32653-1228
Mailing Address6921 Nw 22nd St Ste 1Gainesville, FL 32653-1228 · (352) 215-7964
Phone(352) 215-7964
Organization SubpartNo
Authorized OfficialKamaria JenkinsCeo · (352) 215-7964
Enumeration DateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1821977547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies
Taxonomy Code251C00000X
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
6921 NW 22ND ST STE 1, Gainesville, FL 32653
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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 Provider LLC's NPI number?

The NPI number for Victory Provider LLC is 1821977547. It was assigned to this organization in the NPPES registry on August 27, 2025.

Where is Victory Provider LLC located?

Victory Provider LLC is located at 6921 NW 22nd St Ste 1, Gainesville, FL 32653. The listed phone number is (352) 215-7964.

What is Victory Provider LLC's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Victory Provider LLC was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.