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VICTORY GROUP HOME LLC#2
NPI 1962152280
Community Based Residential Treatment Facility, Mental Illness in Phoenix, AZ

Active since March 28, 2022
9162 W SELLS DR, PHOENIX, AZ 85037(469) 648-8397 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Victory Group Home Llc#2 NPPES

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

VICTORY GROUP HOME LLC#2 (NPI 1962152280) is a healthcare organization registered as a community based residential treatment facility, mental illness in Phoenix, Arizona and active in the NPI registry since March 2022. The organization lists Evelyne Dusabe, Of, as its authorized official.

NPPES Registry Identity

NPI1962152280
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameVICTORY GROUP HOME LLC#2
Location Address9162 W SELLS DRPhoenix, AZ 85037-0805
Mailing Address9162 W Sells DrPhoenix, AZ 85037-0805
Phone(469) 648-8397
Organization SubpartNo
Authorized OfficialEvelyne DusabeOf · (623) 248-8548
Enumeration DateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1962152280 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.
9162 W SELLS DR, Phoenix, AZ 85037
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Other Identifiers 1

MedicaidBH7450AZ

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#2's NPI number?

The NPI number for Victory Group Home Llc#2 is 1962152280. It was assigned to this organization in the NPPES registry on March 28, 2022.

Where is Victory Group Home Llc#2 located?

Victory Group Home Llc#2 is located at 9162 W Sells Dr, Phoenix, AZ 85037. The listed phone number is (469) 648-8397.

What is Victory Group Home Llc#2'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#2 was last updated on March 28, 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.