{"npi":"1508301185","type":"NPI-2","status":"active","name":{"display":"Victory Home Health Care, LLC","other":[],"organization_name":"VICTORY HOME HEALTH CARE, LLC","authorised_official":"Debra Okowa"},"specialty":{"primary_taxonomy":"253Z00000X","primary_taxonomy_description":"In Home Supportive Care Agency","slug":"in-home-supportive-care-agency","schema_org_specialty":null,"all":[{"code":"251J00000X","description":"Nursing Care Agency","primary":false,"state":"NC","license":"HC3021"},{"code":"253Z00000X","description":"In Home Supportive Care Agency","primary":true,"state":"NC","license":"HC3021"}]},"addresses":[{"purpose":"LOCATION","street_1":"1519 W GARRISON BLVD","city":"GASTONIA","state":"NC","postal_code":"280523671","country_code":"US","phone":"7047594225","fax":"9802891302"},{"purpose":"MAILING","street_1":"8501 TOWER POINT DR","city":"CHARLOTTE","state":"NC","postal_code":"282277849","country_code":"US","phone":"7048410203"}],"license":{"state":"NC","number":"HC3021"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"HC3021","state":"NC","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2017-01-05","last_updated":"2023-11-02","_meta":{"source":"NPPES","snapshot_date":"2023-11-02","doc_url":"https://findmynpi.com/api"}}