TRIUMPH LLC (NPI# 1679619852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679619852 |
| Entity Type | Organization |
| Organization Name | TRIUMPH LLC |
| Practice Address |
351 Riverside Dr Suite 100 Mount Airy NC 27030-3850 |
| Practice Telephone | 3367836919 |
| Mailing Telephone | 3367836919 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |
| 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 | 8300776H | 05 | |
| NC | 8300776 | 05 | |
| NC | 8300776G | 05 | |
| NC | 8300776B | 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 |
351 RIVERSIDE DR SUITE 100 |
| City | MOUNT AIRY |
| State | NC |
| Zip Code | 27030-3850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295063790 | Michelle Renee Butler | Nurse Practitioner | 351 Riverside Dr, Mount Airy, NC 27030-3877 | 2009-11-23 |
| 1912181140 | Partnership for A Drug Free Nc Inc | Community/Behavioral Health | 351 Riverside Dr, Mount Airy, NC 27030-3877 | 2007-12-24 |
| 1053512376 | New River Service Authority | Community/Behavioral Health | 351 Riverside Dr, Suite 100, Mount Airy, NC 27030-3878 | 2007-05-31 |
| 1790904498 | Carole Lynn Haislip-rambo | Physician Assistant | 351 Riverside Dr, Mount Airy, NC 27030-3877 | 2007-04-24 |
| 1962536755 | Craig William Smith | Social Worker | 351 Riverside Dr, Mount Airy, NC 27030-3850 | 2007-03-15 |
| 1558494823 | David Wheeler Allred | Marriage & Family Therapist | 351 Riverside Dr, Mount Airy, NC 27030-3850 | 2007-03-14 |
| 1386783355 | Sandra H. Tucker | Counselor | 351 Riverside Dr, Mount Airy, NC 27030-3850 | 2007-02-06 |
| 1811041858 | Craig Kendle Arey | Counselor | 351 Riverside Dr, Mount Airy, NC 27030-3850 | 2007-01-23 |
| 1356494256 | Triumph LLC | Counselor | 351 Riverside Dr, Suite 100, Mount Airy, NC 27030-3850 | 2007-01-22 |
| 1366595415 | Jeffery Bryant Eads | Counselor | 351 Riverside Dr, Mount Airy, NC 27030-3850 | 2007-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
| 1376984880 | Shari York | Counselor | 847 Westlake Dr, Mount Airy, NC 27030 | 2013-07-12 |
| 1861745069 | Surry-yadkin Residential Services, Inc | Intermediate Care Facility, Mentally Retarded | 1305 Park Dr, Mount Airy, NC 27030 | 2012-10-25 |
| 1346592169 | Debra Lynn Campbell | Physician Assistant | 709 West Independence Blvd., Mount Airy, NC 27030 | 2012-10-03 |
| 1720217680 | Lena Anderson Ferris | Nurse Practitioner | 708 S South St Ste 400, Mount Airy, NC 27030 | 2009-07-13 |
| 1013104520 | Tong Li-masters | Internal Medicine | 830 Rockford Street, Winston Salem, NC 27030 | 2007-09-28 |
| 1336261528 | Thomas R Jackson Dds Pa | Dentist | 1007 Rockford Street, Mount Airy, NC 27030 | 2007-04-06 |
| 1467585422 | Ridgecrest Ritirement Community | Assisted Living Facility | Ridgecrest Retirement, LLC, 1000 Ridgecrest Ln., Mount Airy, NC 27030 | 2007-03-13 |
| 1568516755 | Lou Urmos | Family Medicine | 805 Merita Street, Mt Airy, NC 27030 | 2007-01-23 |
| 1568516391 | Mark Lee Appler | Internal Medicine | 708 S South St Ste 100, Mount Airy, NC 27030 | 2007-01-22 |
| Find all providers in zip 27030 | ||||
| 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 |
|---|---|---|---|---|
| 1922430677 | Pqa Healthcare,inc | Community/Behavioral Health | 452 Franklin St, Mount Airy, NC 27030-4508 | 2013-08-05 |
| 1508982323 | Barium Springs Home for Children | Community/Behavioral Health | 1249 North South Street, No 100, Mount Airy, NC 27030-3850 | 2007-03-22 |
| 1740312198 | Carolina Residential Services, Inc. | Community/Behavioral Health | 145 N Gilmer St, Mount Airy, NC 27030-3842 | 2007-03-12 |
| 1700911211 | The Mental Health Association In North Carolina, Inc | Community/Behavioral Health | 150 Franklin St, Mount Airy, NC 27030-4502 | 2007-02-23 |
| 1700929445 | Carolina Residential Services, Inc | Community/Behavioral Health | 910 Spring St, Mount Airy, NC 27030-5512 | 2007-02-14 |
| 1073693149 | Behavioral Services, Inc. | Community/Behavioral Health | 2342 S Main St, Mount Airy, NC 27030-6365 | 2006-10-16 |
| 1386076453 | Pqa Healthcare, Inc | Community/Behavioral Health | 140 Franklin St, Mount Airy, NC 27030-4502 | 2013-07-31 |
| 1912181140 | Partnership for A Drug Free Nc Inc | Community/Behavioral Health | 351 Riverside Dr, Mount Airy, NC 27030-3877 | 2007-12-24 |
| 1053512376 | New River Service Authority | Community/Behavioral Health | 351 Riverside Dr, Suite 100, Mount Airy, NC 27030-3878 | 2007-05-31 |
| 1144356049 | The Mental Health Association In North Carolina, Inc | Community/Behavioral Health | 150 Franklin St, Mount Airy, NC 27030-4502 | 2007-02-26 |
| Find all providers in MOUNT AIRY | ||||
| City | MOUNT AIRY |
| Zip Code | 27030 |
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.