Victory Palace
Victory Palace is a healthcare organization registered as Adult Care Home Facility in Grand Rapids, MI, holding Type 2 (organization) NPI 1104126754 since 2010. The authorized official on file is Ime Etuk, Managing Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104126754 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Victory Palace |
| Practice address | 908 COLLEGE AVE NE, Grand Rapids, MI, 49503 |
| Phone | 6162148155 |
| Fax | 6162148155 |
| Enumeration date | 2010-10-29 |
| Last updated in NPPES | 2010-10-29 |
Authorized official
| Name | Ime Etuk |
|---|---|
| Title | Managing Director |
| Phone | 6168813843 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 311ZA0620X | Adult Care Home Facility | Primary | AF410306794 | MI |
Copy-ready billing details
Provider: Victory Palace NPI: 1104126754 Taxonomy: 311ZA0620X (Adult Care Home Facility) Address: 908 COLLEGE AVE NE, Grand Rapids, MI, 49503
Verify this record
Cross-check NPI 1104126754 against the authoritative CMS record: view Victory Palace on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Victory Palace?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-10-29.