Organization
Victorious Healthcare L.L.C.
Provider's NPPES record last updated: September 14, 2016
Overview
- Entity Type
- Organization
- NPI
- 1912455361
- Primary Specialty
- Custodial Care Facility — Adult Care Home
- Practice Location
- Jackson, Mississippi
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 6:49 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Custodial Care Facility
Adult Care Home
Nursing & Custodial Care Facilities
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Taxonomy code 311ZA0620X Assisted Living Facility
Nursing & Custodial Care Facilities
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.
Taxonomy code 310400000XNursing Facility/Intermediate Care Facility
Nursing & Custodial Care Facilities
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Taxonomy code 313M00000XSkilled Nursing Facility
Nursing & Custodial Care Facilities
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Taxonomy code 314000000XIntermediate Care Facility, Intellectual Disabilities
Nursing & Custodial Care Facilities
An intermediate care facility providing services for individuals with intellectual disabilities.
Taxonomy code 315P00000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Residential Treatment Facilities
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Taxonomy code 320600000XSubstance Abuse Rehabilitation Facility
Residential Treatment Facilities
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Taxonomy code 324500000XDurable Medical Equipment & Medical Supplies
Suppliers
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Taxonomy code 332B00000XDurable Medical Equipment & Medical Supplies
Nursing Facility Supplies
Suppliers
Definition to come...
Taxonomy code 332BN1400XDurable Medical Equipment & Medical Supplies
Oxygen Equipment & Supplies
Suppliers
Definition to come...
Taxonomy code 332BX2000XHome Delivered Meals
Suppliers
Home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral.
Taxonomy code 332U00000XSecured Medical Transport (VAN)
Transportation Services
A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse.
Taxonomy code 343800000XPrivate Vehicle
Transportation Services
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Taxonomy code 347C00000XRespite Care
Respite Care Facility
Definition to come.
Taxonomy code 385H00000XRespite Care
Respite Care, Intellectual and/or Developmental Disabilities, Child
Respite Care Facility
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
Taxonomy code 385HR2060X
Practice Locations
Practice Location
4959 Laurel Oak Dr
Jackson, Mississippi 39212-2150
Phone: (601) 209-4278
Record Information
- Enumeration Date
- September 14, 2016
- Provider's NPPES Record Last Updated
- September 14, 2016
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue