VICTORIOUS HEALTHCARE L.L.C.
NPI 1912455361
Custodial Care Facility - Adult Care Home in Jackson, MS

Active since September 14, 2016
4959 LAUREL OAK DR, JACKSON, MS 39212(601) 209-4278 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Victorious Healthcare L.l.c. NPPES

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

VICTORIOUS HEALTHCARE L.L.C. (NPI 1912455361) is a healthcare organization registered as an adult care home in Jackson, Mississippi and active in the NPI registry since September 2016. The organization lists Mary Jean Ben, C.e. O., as its authorized official.

NPPES Registry Identity

NPI1912455361
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameVICTORIOUS HEALTHCARE L.L.C.
Location Address4959 LAUREL OAK DRJackson, MS 39212-2150
Mailing Address4959 Laurel Oak DrJackson, MS 39212-2150 · (601) 209-4278
Organization SubpartNo
Authorized OfficialMary Jean BenC.e. O. · (601) 209-4278
Enumeration DateSeptember 14, 2016
NPI 1912455361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Also ListedAssisted Living FacilityTaxonomy 310400000X
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
Also ListedSkilled Nursing FacilityTaxonomy 314000000X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedHome Delivered MealsTaxonomy 332U00000X
Also ListedSecured Medical Transport (VAN)Taxonomy 343800000X
Also ListedPrivate VehicleTaxonomy 347C00000X
Also ListedRespite CareTaxonomy 385H00000X
4959 LAUREL OAK DR, Jackson, MS 39212

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 Healthcare L.L.C.'s NPI number?

The NPI number for Victorious Healthcare L.L.C. is 1912455361. It was assigned to this organization in the NPPES registry on September 14, 2016.

Where is Victorious Healthcare L.L.C. located?

Victorious Healthcare L.L.C. is located at 4959 Laurel Oak Dr, Jackson, MS 39212. The listed phone number is (601) 209-4278.

What is Victorious Healthcare L.L.C.'s specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Victorious Healthcare L.L.C. was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.