OrganizationActive
A Victorious Home Care
NPI 1417199712 · Home Health Agency · Concord, NC
Provider details
- NPI number
- 1417199712
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Authorized official
- Ike Ifedi, Director
- License
- HC3794 (NC)
Practice location
135 Cabarrus Ave E
Concord, NC 28025-3469
Phone: (704) 865-0718
Fax: (704) 865-0720
Mailing address
3549 N Sharon Amity Rd Ste 301
Charlotte, NC 28205-2975
Registry dates
- Enumerated
- 2009-04-01
- Last updated
- 2011-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.