VICTORIA HOUSE SENIOR LIVING CENTER LLC NPI 1770601833

NPI Information

NPI: 1770601833
Provider Name: VICTORIA HOUSE SENIOR LIVING CENTER LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
5295 ASHLEY CIR
YOUNGSTOWN, OH
ZIP 44515
Phone: (330) 799-1711
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VICTORIA HOUSE SENIOR LIVING CENTER LLC is an assisted living facility in Youngstown, OH. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. VICTORIA HOUSE SENIOR LIVING CENTER LLC NPI is 1770601833. The provider is registered as an organization entity type.

The provider's business location address is:

5295 ASHLEY CIR
YOUNGSTOWN, OH
ZIP 44515-160
Phone: (330) 799-1711

The provider's authorized official is Joseph J Vince .
The authorized official title is Cfo and has the following contact phone number (330) 799-1711.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 8/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		2440R	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	167538098	OTHER	OHIO	MEDICAID ASSISTED LIVING WAIVER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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