Organization Active NPI

Triumph Voyage, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Brigham City, UT
National Provider Identifier
1124364922
Registry record updated Dec 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
TRIUMPH VOYAGE, LLC
Practice address
58 S 950 W
Brigham City, UT 84302-4424
Phone
(435) 703-4867
NPI assigned
Dec 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2012

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

Authorized official

Name
Bruce Humphries
Title
President
Phone
(435) 703-4867

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

58 S 950 W
Brigham City, UT 84302-4424

Mailing address

58 S 950 W
Brigham City, UT 84302-4424

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1356393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356393600000",
    "number": "1124364922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 S 950 W",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843024424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 S 950 W",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843024424",
            "telephone_number": "435-703-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUMPH VOYAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-25",
        "last_updated": "2012-12-25",
        "status": "A",
        "authorized_official_last_name": "HUMPHRIES",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-703-4867"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2012; 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.