VICTORY PROVIDER LLC NPI 1821977547

NPI Information

  • NPI: 1821977547
  • Provider Name: VICTORY PROVIDER LLC
  • Classification: Day Training, Developmentally Disabled Services - 251C00000X
  • Entity Type: Organization
  • Address: 6921 NW 22ND ST STE 1
    GAINESVILLE, FL
    ZIP 32653
  • Phone: (352) 215-7964

Map and Directions

Get Directions

NPI Details

VICTORY PROVIDER LLC is a day training developmentally disabled services in Gainesville, FL. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. VICTORY PROVIDER LLC NPI is 1821977547. The provider is registered as an organization entity type.

The provider's business location address is:

6921 NW 22ND ST STE 1
GAINESVILLE, FL
ZIP 32653-228
Phone: (352) 215-7964

The provider's authorized official is Kamaria Jenkins .
The authorized official title is Ceo and has the following contact phone number (352) 215-7964.

The enumeration date for this NPI number is 8/27/2025 and was last updated on 8/27/2025.

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
1251E00000XHome HealthNo
2251S00000XCommunity/Behavioral HealthNo
3253Z00000XIn Home Supportive CareNo
4251C00000XDay Training, Developmentally Disabled ServicesYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI