TRIUMPH, LLC (NPI# 1790962439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790962439 |
Entity Type | Organization |
Organization Name | TRIUMPH, LLC |
Practice Address |
1010 W Northwest Blvd Winston Salem NC 27101-1105 |
Mailing Address |
3210 Fairhill Dr Raleigh NC 27612-3215 |
Practice Telephone | 3366078501 |
Practice Fax Number | 3367254030 |
Mailing Telephone | 9192560824 |
Mailing Fax Number | 9192560833 |
Enumeration Date | 2008-01-24 |
Last Update Date | 2009-04-24 |
Authorized Official Name | HAROLD E JONES JR. (MEMBER MGR./OWNER) |
Authorized Official Telephone | 9192560824 |
Is Organization Subpart | Y |
Parent Organization Name | TRIUMPH, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | NC | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 8302304A | 05 | |
NC | 8302304 | 05 | |
NC | 8302304S | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275796112 | Triumph, LLC | Counselor | 104 King Circle, Danbury, NC 27016-7634 | 2008-07-09 |
1255483285 | Triumph, LLC | Counselor | 207 10th St, Suite 201, N Wilkesboro, NC 28659-4153 | 2007-01-18 |
1114299187 | Triumph, LLC | Community/Behavioral Health | 500 Millstone Dr, Hillsborough, NC 27278-9055 | 2012-02-06 |
1134399652 | Triumph, LLC | Psychologist | 355 S Madison Blvd, Suite C2, Roxboro, NC 27573-5485 | 2008-03-12 |
1154591386 | Triumph, LLC | Counselor | 3708 Mayfair St, South Square 2, Durham, NC 27707-6226 | 2008-03-04 |
1811176076 | Triumph, LLC | Community/Behavioral Health | 2209 Century Dr, Suite 101, Raleigh, NC 27612-3941 | 2007-10-24 |
1568508745 | Triumph, LLC | Counselor | 309 Wyche St, Henderson, NC 27536-4246 | 2007-01-29 |
1770639718 | Triumph, LLC | Community/Behavioral Health | 909 S Main St, Suite A, Burlington, NC 27215-5756 | 2007-01-25 |
1043314792 | Triumph, LLC | Psychiatry & Neurology | 118 Peace St, North Wilkesboro, NC 28659-4519 | 2006-09-12 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | TRIUMPH, LLC | 2601 Terrace Rd, Des Moines, IA 50312 |
Washington State Corporations | TRIUMPH, LLC | 8096 Excelsior Blvd, Hopkins, MN 55343 |
Colorado Business Entities | Triumph, LLC | 11799 Cormorant Cir, Parker, CO 80134 |
Street Address |
1010 W NORTHWEST BLVD |
City | WINSTON SALEM |
State | NC |
Zip Code | 27101-1105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912114513 | William Thomas Harris | Psychiatry & Neurology | 1010 W Northwest Blvd, Winston Salem, NC 27101-1105 | 2007-05-16 |
1669980884 | Shakira Deona Kea | Counselor | 1010 W Northwest Blvd, Winston Salem, NC 27101-1105 | 2018-01-22 |
1346778487 | Ronsenia Truelish Lindsay | Counselor | 1010 W Northwest Blvd, Winston Salem, NC 27101-1105 | 2017-06-02 |
1780116160 | Belinda Yellock | Registered Nurse | 1010 W Northwest Blvd, Winston Salem, NC 27101-1105 | 2017-04-03 |
1891171567 | Daymark Recovery Services Inc | Community/Behavioral Health | 1010 W Northwest Blvd, Winston Salem, NC 27101-1105 | 2015-08-05 |
1285977488 | Rha Health Services Inc | Community/Behavioral Health | 1010 W Northwest Blvd, Winston Salem, NC 27101-1105 | 2013-04-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003421876 | Annie Carolina Mccollum | Occupational Therapist | 3 S Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2020-09-09 |
1891321337 | Philippe Ayres | Personal Emergency Response Attendant | 475 Vine St., Bowman Gray Center for Medical Education, Winston-salem, NC 27101 | 2020-03-17 |
1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
1619519428 | Brandi Melissa Decriscio | Nurse Practitioner | 1200 N Martin Luther King Jr Drive, Winston-salem, NC 27101 | 2019-10-14 |
1316502909 | Burke Street Chiropractic, Pllc | Chiropractor | 1016 Burke St., Winston-salem, NC 27101 | 2019-05-08 |
1790349728 | Nakia Carter | Counselor | 1o1o W. Northwest Boulevard, Winston-salem, NC 27101 | 2019-04-25 |
1003391251 | Hannah Fortwengler Rainey | Nurse Anesthetist, Certified Registered | Medical Center Blvrd, Winston-salem, NC 27101 | 2018-10-03 |
1750875928 | Susan Wilhelm Patterson | Nurse Practitioner | 1200 Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2018-06-20 |
1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
1376054627 | Paulisha Da-shawna Mcintyre | Social Worker | 650 Highland Ave Ste 101, Winston Salem, NC 27101 | 2017-10-13 |
Find all providers in zip 27101 |
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 |
---|---|---|---|---|
1407489529 | It Takes A Village Residential Care LLC | Community/Behavioral Health | 5008 Butterfield Dr, Winston Salem, NC 27105-3344 | 2020-02-17 |
1265070890 | Monarch | Community/Behavioral Health | 2680 Grosvenor Pl Apt 1, Winston Salem, NC 27106-5244 | 2019-12-13 |
1457810491 | Marilyn Marie Holder | Community/Behavioral Health | 3215 Linda Cir, Winston Salem, NC 27106-3023 | 2019-03-19 |
1306362017 | The Gracen Foundation | Community/Behavioral Health | 1140 Old Hollow Rd, Winston Salem, NC 27105-8709 | 2017-08-15 |
1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
1962940601 | Kenya Thornton | Community/Behavioral Health | 1225 East 5th, Suite 100, Winston Salem, NC 27101 | 2017-02-02 |
1881076446 | Monarch | Community/Behavioral Health | 967 Salisbury Ridge Rd, Winston Salem, NC 27127-3709 | 2015-06-19 |
1487032249 | Monarch | Community/Behavioral Health | 2844 Reynolda Rd, Winston Salem, NC 27106-3102 | 2015-05-13 |
1467839696 | Aria Health LLC | Community/Behavioral Health | 5312 Summit Heights Dr, Winston Salem, NC 27104-4479 | 2015-04-27 |
1194128629 | Valerie Benton Center | Community/Behavioral Health | 8 W 3rd St Ste 220, Winston Salem, NC 27101-3977 | 2014-09-29 |
Find all providers in WINSTON SALEM |
City | WINSTON SALEM |
Zip Code | 27101 |
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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.