Organization Active NPI

Triumph Recovery, Inc.

  • Substance Abuse Rehabilitation Facility
  • Sherman Oaks, CA
National Provider Identifier
1093163230
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
TRIUMPH RECOVERY, INC.
Practice address
13252 Magnolia Blvd
Sherman Oaks, CA 91423-1531
Phone
(818) 736-9891
Fax
(818) 736-9893
NPI assigned
May 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Theodore William Bender
Title
Ceo
Phone
(850) 339-8941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X CA Primary

Addresses

Primary practice location

13252 Magnolia Blvd
Sherman Oaks, CA 91423-1531

Mailing address

1953 San Elijo Ave Ste 203
Cardiff by the Sea, CA 92007-2348
Phone (302) 636-5401

Other practice location 1

15649 Woodfield Pl
Sherman Oaks, CA 91403-4236
Phone (818) 736-9891

National Provider Directory

National Provider Directory

Locations

1953 San Elijo Ave
Ste 203
Cardiff by the Sea, CA 92007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1093163230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1953 SAN ELIJO AVE STE 203",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920072348",
            "telephone_number": "302-636-5401",
            "fax_number": "818-736-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13252 MAGNOLIA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914231531",
            "telephone_number": "818-736-9891",
            "fax_number": "818-736-9893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15649 Woodfield Pl",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914034236",
            "country_code": "US",
            "telephone_number": "818-736-9891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRIUMPH RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-339-8941"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.