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Victorious Healthcare L.L.C.

Adult Care Home Facility in Jackson, MS · enumerated 2016 · authorized official Mary Ben, C.E. O..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912455361

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Registry record

Entity type Organization (Type 2)
Legal business name Victorious Healthcare L.L.C.
Practice address 4959 Laurel Oak Dr, Jackson, MS, 39212
Enumeration date Sep 14, 2016
Last updated in NPPES Sep 14, 2016

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities Secondary
311ZA0620X Adult Care Home Facility Nursing & Custodial Care Facilities Primary
313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities Secondary
314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Secondary
315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities Secondary
320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Residential Treatment Facilities Secondary
324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
332BN1400X Nursing Facility Supplies (DME) Suppliers Secondary
332BX2000X Oxygen Equipment & Supplies (DME) Suppliers Secondary
332U00000X Home Delivered Meals Suppliers Secondary
343800000X Secured Medical Transport (VAN) Transportation Services Secondary
347C00000X Private Vehicle Transportation Services Secondary
385H00000X Respite Care Respite Care Facility Secondary
385HR2060X Child Intellectual and/or Developmental Disabilities Respite Care Respite Care Facility Secondary

Authorized official

Name Mary Ben
Title C.E. O.

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.

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Frequently asked questions

What type of organization is Victorious Healthcare L.L.C.?
Victorious Healthcare L.L.C. is registered in NPPES as a Adult Care Home Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-09-14.