Victory Bay Residential Services I, LLC
NPI 1609630276 · Health Service Clinic/Center · Tarzana, CA
Victory Bay Residential Services I, LLC is a Health Service Clinic/Center organization in Tarzana, CA (NPI 1609630276).
Provider details
- NPI number
- 1609630276
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Mellon, Director Regulatory Compliance(856) 282-5590
Specialties & taxonomies
Ambulatory Health Care Facilities
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
- 2024-02-13
- Last updated
- 2024-09-17
- Certified
- 2024-09-17
Frequently asked questions
- What is Victory Bay Residential Services I, LLC's NPI number?
- Victory Bay Residential Services I, LLC's National Provider Identifier (NPI) is 1609630276, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Victory Bay Residential Services I, LLC?
- Victory Bay Residential Services I, LLC is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Victory Bay Residential Services I, LLC located?
- Victory Bay Residential Services I, LLC's practice location on file with NPPES is 19667 Trull Brook Dr, Tarzana, CA 91356-5630.
- What is Victory Bay Residential Services I, LLC's phone number?
- The practice phone number listed in the NPPES registry for Victory Bay Residential Services I, LLC is (856) 282-2028.
- Who is the authorized official for Victory Bay Residential Services I, LLC?
- The authorized official listed on Victory Bay Residential Services I, LLC's NPPES record is Jennifer Mellon, Director Regulatory Compliance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Victory Bay Residential Services I, LLC's NPI active?
- Yes — Victory Bay Residential Services I, LLC's NPI (1609630276) is active in the NPPES registry as of the last update on 2024-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.