# VICTORY GROUP HOME

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHILDREN'S HOMES OF SOUTHERN CALIFORNIA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497206205
- **Legal business name:** CHILDREN'S HOMES OF SOUTHERN CALIFORNIA
- **Authorized official:** MR. JORGE C MARQUEZ (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (818) 592-2960

## Contact information

- **Practice address:** 22455 VICTORY BLVD, WEST HILLS, CA 91307
- **Practice address phone:** (818) 888-5939
- **Practice address fax:** (818) 888-5939
- **Mailing address:** 22455 VICTORY BLVD, WEST HILLS, CA 91307
- **Mailing address phone:** (818) 592-2960
- **Mailing address fax:** (818) 592-2961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 191222471 | CA | Yes |

## Other

- **Enumeration date:** 10/17/2016
- **Last updated:** 10/17/2016