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

Victory Group Home LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1639843279

Victory Group Home LLC is a Mental Illness Community Based Residential Treatment Facility in Phoenix, Arizona. Registered with an NPI since 2021.

In the registry since
2021
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

9127 W Minnezona Ave
Phoenix, AZ 85037-2446
Phone: (469) 648-8397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1639843279
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Evelyne Dusabe — Administrator · (469) 648-8397
NPI enumeratedAugust 6, 2021
Last updated in NPPESAugust 6, 2021
Certification dateAugust 6, 2021
Mailing address9127 W Minnezona Ave, Phoenix, AZ 85037-2446

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