Victory Health Home PLLC
NPI 1487431805 · Mental Illness Community Based Residential Treatment Facility · San Tan Valley, AZ
Victory Health Home PLLC is a Mental Illness Community Based Residential Treatment Facility organization in San Tan Valley, AZ (NPI 1487431805).
Provider details
- NPI number
- 1487431805
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ibukun Odutola, Dnp Ceo(480) 202-4597
Specialties & taxonomies
Residential Treatment Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2023-09-11
- Last updated
- 2026-01-15
- Certified
- 2026-01-15
Frequently asked questions
- What is Victory Health Home PLLC's NPI number?
- Victory Health Home PLLC's National Provider Identifier (NPI) is 1487431805, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Victory Health Home PLLC?
- Victory Health Home PLLC is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Victory Health Home PLLC located?
- Victory Health Home PLLC's practice location on file with NPPES is 3887 E Citrine Rd, San Tan Valley, AZ 85143-5688.
- What is Victory Health Home PLLC's phone number?
- The practice phone number listed in the NPPES registry for Victory Health Home PLLC is (602) 502-4872.
- Who is the authorized official for Victory Health Home PLLC?
- The authorized official listed on Victory Health Home PLLC's NPPES record is Ibukun Odutola, Dnp Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Victory Health Home PLLC's NPI active?
- Yes — Victory Health Home PLLC's NPI (1487431805) is active in the NPPES registry as of the last update on 2026-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.