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Victorious Healthcare L.L.C. — NPI 1912455361, Jackson, MS | NPI Central

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NPI 1912455361

OrganizationActive

Victorious Healthcare L.L.C.

NPI 1912455361 · Adult Care Home Facility · Jackson, MS

Provider details

NPI number: 1912455361
Entity type: Organization
Primary specialty: Adult Care Home FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Mary Ben, C.e. O.(601) 209-4278

Specialties & taxonomies

Adult Care Home FacilityPrimary311ZA0620X
Nursing & Custodial Care Facilities
Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
Nursing Facility/Intermediate Care Facility313M00000X
Nursing & Custodial Care Facilities
Skilled Nursing Facility314000000X
Nursing & Custodial Care Facilities
Intellectual Disabilities Intermediate Care Facility315P00000X
Nursing & Custodial Care Facilities
Intellectual and/or Developmental Disabilities Residential Treatment Facility320600000X
Residential Treatment Facilities
Substance Abuse Rehabilitation Facility

Practice location

4959 Laurel Oak Dr

Jackson, MS 39212-2150

Phone: (601) 209-4278

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

4959 Laurel Oak Dr

Jackson, MS 39212-2150

Registry dates

Enumerated: 2016-09-14
Last updated: 2016-09-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

324500000X

Residential Treatment Facilities

Durable Medical Equipment & Medical Supplies332B00000X

Suppliers

Nursing Facility Supplies (DME)332BN1400X

Suppliers

Oxygen Equipment & Supplies (DME)332BX2000X

Suppliers

Home Delivered Meals332U00000X

Suppliers

Secured Medical Transport (VAN)343800000X

Transportation Services

Private Vehicle347C00000X

Transportation Services

Respite Care385H00000X

Respite Care Facility

Child Intellectual and/or Developmental Disabilities Respite Care385HR2060X

Respite Care Facility