Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Victorious Healthcare LLC

Organization Assisted Living Facility · NPI 1912455361

Victorious Healthcare LLC is an Assisted Living Facility in Jackson, Mississippi. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
15
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4959 Laurel Oak Dr
Jackson, MS 39212-2150
Phone: (601) 209-4278
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1912455361
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Ben — C.E. O. · (601) 209-4278
NPI enumeratedSeptember 14, 2016
Last updated in NPPESSeptember 14, 2016
Mailing address4959 Laurel Oak Dr, Jackson, MS 39212-2150

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