TRIUMPH LLC (NPI# 1063568095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063568095 |
| Entity Type | Organization |
| Organization Name | TRIUMPH LLC |
| Practice Address |
119 W Depot St Mocksville NC 27028-2327 |
| Mailing Address |
3210 Fairhill Dr Raleigh NC 27612-3215 |
| Practice Telephone | 3367515636 |
| Practice Fax Number | 3367515696 |
| Mailing Telephone | 9192560824 |
| Mailing Fax Number | 9192560833 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2010-07-22 |
| Authorized Official Name | PAUL CALDWELL (CEO) |
| Authorized Official Telephone | 9194672433 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300784G | 05 | |
| NC | 8300784H | 05 | |
| NC | 8300784V | 05 | |
| NC | 8300784B | 05 | |
| NC | 8300784 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477863330 | Triumph LLC | Psychiatry & Neurology | 355 S. Madison Blvd, Ste C2, Roxboro, NC 27573-5485 | 2010-10-13 |
| 1487969549 | Triumph LLC | Clinic/Center | 500 Millstone Dr, Ste 104 & 105, Hillsborough, NC 27278-9056 | 2010-08-13 |
| 1275847576 | Triumph LLC | Clinic/Center | 817 Meadowbrook Dr, King, NC 27021-8248 | 2010-07-29 |
| 1497905350 | Triumph LLC | Psychologist | 288 East Street, Suite 1002, Pittsboro, NC 27312-9759 | 2008-09-26 |
| 1275679425 | Triumph LLC | Marriage & Family Therapist | 1683b Us 401 Hwy South, Louisburg, NC 27549-6829 | 2007-01-29 |
| 1558417584 | Triumph LLC | Community/Behavioral Health | 726 N Cherry St, Winston Salem, NC 27101-1419 | 2007-01-25 |
| 1558417592 | Triumph LLC | Psychiatry & Neurology | 3210 Fairhill Dr, Raleigh, NC 27612-3220 | 2007-01-25 |
| 1255485157 | Triumph LLC | Case Management | 309 Wyche St, Henderson, NC 27536-4246 | 2007-01-22 |
| 1639222516 | Triumph LLC | Counselor | 725 N Highland Ave, 2nd Floor, Winston Salem, NC 27101-4206 | 2007-01-22 |
| 1316008410 | Triumph LLC | Counselor | 189 Samaritan Ridge Road, Elkin, NC 28621-2452 | 2006-12-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Triumph LLC | 8464 Portland Pl, Mclean, Virginia 22102 |
| Washington State Corporations | TRIUMPH LLC | 2601 76th Ave Se, Mercer Island, WA 98040-2624 |
| Oregon Corporations, Companies and Business Names | TRIUMPH LLC | 1030 Ne Yucca Ave, Redmond, OR 97756 |
| New York State Corporations | TRIUMPH LLC | 888 Main Street, Suite 1209, New York, Ny 10044 |
| Street Address |
119 W DEPOT ST |
| City | MOCKSVILLE |
| State | NC |
| Zip Code | 27028-2327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598791550 | Jocelyn Bradburn | Counselor | 119 W Depot St, Mocksville, NC 27028-2327 | 2006-06-23 |
| 1306356258 | Martha Laurin Stroud | Social Worker | 119 W Depot St, Mocksville, NC 27028-2327 | 2017-10-05 |
| 1891235685 | Lorri Jones Hayes | Counselor | 119 W Depot St, Mocksville, NC 27028-2327 | 2017-02-28 |
| 1366876054 | Betsy Clayton Servis | Counselor | 119 W Depot St, Mocksville, NC 27028-2327 | 2013-08-29 |
| 1184967390 | Rha Health Services Inc | Community/Behavioral Health | 119 W Depot St, Mocksville, NC 27028-2327 | 2013-04-05 |
| 1871846220 | Ariana Catherine Winn | Counselor | 119 W Depot St, Mocksville, NC 27028-2327 | 2012-10-23 |
| 1730444084 | Gordon Johnson | Counselor | 119 W Depot St, Mocksville, NC 27028-2327 | 2012-07-11 |
| 1568779825 | Ashley J Golds | Counselor | 119 W Depot St, Mocksville, NC 27028-2327 | 2010-09-08 |
| 1689907511 | Triumph LLC | Psychologist | 119 W Depot St, Mocksville, NC 27028-2327 | 2009-09-10 |
| 1033347323 | Kerry-ann Winebarger | Social Worker | 119 W Depot St, Mocksville, NC 27028-2327 | 2009-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285270868 | Gaston Family Health Services, Inc. | Clinic/Center | 160 Martin Luther King Junior Rd, Mocksville, NC 27028 | 2019-11-19 |
| 1730649633 | Dawn Michelle Whitsel | Occupational Therapy Assistant | 498 Madison Rd., Mocksville, NC 27028 | 2019-03-25 |
| 1912476391 | Warren Hearing Solutions, LLC | Audiologist-Hearing Aid Fitter | 189 Gaither St, Mocksville, NC 27028 | 2018-11-15 |
| 1548711385 | Tyler Crane | Nurse Practitioner | 375 Hospital St Ste 200, Mocksville, NC 27028 | 2016-10-17 |
| 1679926042 | Nicholas Martyak | Physical Therapist | 161 Nikkis Way, Mocksville, NC 27028 | 2016-07-20 |
| 1386987790 | Elizabeth Hemmings | Speech-Language Pathologist | 498 Madison Road, Mocksville, NC 27028 | 2013-04-03 |
| 1932421427 | Davie Kidney Center of Wake Forest University | Clinic/Center | 190 Interstate Drive, Mocksville, NC 27028 | 2010-02-24 |
| 1568455707 | Wake Forest University Baptist Medical Center Community Physicians | Pediatrics | 113 Marketplace Drive, Mocksville, NC 27028 | 2005-08-23 |
| 1912485517 | Davie Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 498 Madison Road, Mocksville, NC 27028 | 2018-08-06 |
| 1245747062 | Emma Beneke | Social Worker | 172 S Clement St, Mocksville, NC 27028 | 2018-01-02 |
| Find all providers in zip 27028 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720527849 | County of Davie Office of Finance Agent | Community/Behavioral Health | 172 S Clement St, Mocksville, NC 27028-2336 | 2017-02-22 |
| 1417395898 | Monarch | Community/Behavioral Health | 161 Funder Dr, Mocksville, NC 27028-2885 | 2013-06-07 |
| 1134245293 | Milling Manor, Inc. | Community/Behavioral Health | 253 Milling Rd, Mocksville, NC 27028-2704 | 2007-03-21 |
| 1972651651 | The Shepherd's Ranch, Inc. | Community/Behavioral Health | 209 Hidden Meadows Trl, Mocksville, NC 27028-4976 | 2007-01-08 |
| 1184967390 | Rha Health Services Inc | Community/Behavioral Health | 119 W Depot St, Mocksville, NC 27028-2327 | 2013-04-05 |
| 1407042658 | Daymark Recovery Services Inc | Community/Behavioral Health | 301 Hospital St, Mocksville, NC 27028-2060 | 2007-09-21 |
| 1477745628 | Daymark Recovery Services Inc | Community/Behavioral Health | 301 Hospital St, Mocksville, NC 27028-2060 | 2007-08-13 |
| 1356547772 | Daymark Recovery Services Inc | Community/Behavioral Health | 301 Hospital St, Mocksville, NC 27028-2060 | 2007-06-22 |
| 1174729594 | Daymark Recovery Services Inc | Community/Behavioral Health | 301 Hospital St, Mocksville, NC 27028-2060 | 2007-06-22 |
| 1083810402 | Daymark Recovery Services Inc | Community/Behavioral Health | 301 Hospital St, Mocksville, NC 27028-2060 | 2007-06-22 |
| Find all providers in MOCKSVILLE | ||||
| City | MOCKSVILLE |
| Zip Code | 27028 |
Please comment or provide details below to improve the information on TRIUMPH LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.