OrganizationActive
Victory Palace
NPI 1104126754 · Adult Care Home Facility · Grand Rapids, MI
Victory Palace is a Adult Care Home Facility organization in Grand Rapids, MI (NPI 1104126754).
Provider details
- NPI number
- 1104126754
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ime Etuk, Managing Director(616) 881-3843
- License
- AF410306794 (MI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
908 College Ave Ne
Grand Rapids, MI 49503-1751
Phone: (616) 214-8155
Fax: (616) 214-8155
Street-level locationGet directions
Mailing address
908 College Ave Ne
Grand Rapids, MI 49503-1751
Registry dates
- Enumerated
- 2010-10-29
- Last updated
- 2010-10-29
Frequently asked questions
- What is Victory Palace's NPI number?
- Victory Palace's National Provider Identifier (NPI) is 1104126754, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Victory Palace?
- Victory Palace is classified in the NPPES registry as Adult Care Home Facility (Nursing & Custodial Care Facilities).
- Where is Victory Palace located?
- Victory Palace's practice location on file with NPPES is 908 College Ave Ne, Grand Rapids, MI 49503-1751.
- What is Victory Palace's phone number?
- The practice phone number listed in the NPPES registry for Victory Palace is (616) 214-8155.
- Who is the authorized official for Victory Palace?
- The authorized official listed on Victory Palace's NPPES record is Ime Etuk, Managing Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Victory Palace's NPI active?
- Yes — Victory Palace's NPI (1104126754) is active in the NPPES registry as of the last update on 2010-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.