Organization Active NPI

Triumphant Family Services LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1154756302
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRIUMPHANT FAMILY SERVICES LLC
Practice address
1516 E Tropicana Ave
295-2
Las Vegas, NV 89119-6525
Phone
(702) 771-0053
NPI assigned
Sep 6, 2013
Last updated
Jun 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Authorized official

Name
Mr. Patrick Russell, QMHA
Title
Ceo
Phone
(702) 771-0053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NV Primary

Addresses

Primary practice location

1516 E Tropicana Ave
295-2
Las Vegas, NV 89119-6525

Mailing address

1516 E Tropicana Ave
295-2
Las Vegas, NV 89119-6525
Phone (702) 771-0053

Other identifiers 1

IdentifierTypeStateIssuer
1780989699MedicaidNV

National Provider Directory

National Provider Directory

Locations

6396 McLeod Dr
#68
Las Vegas, NV 89120
Phone (702) 912-0600

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1154756302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 E TROPICANA AVE",
            "address_2": "295-2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196525",
            "telephone_number": "702-771-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 E TROPICANA AVE",
            "address_2": "295-2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196525",
            "telephone_number": "702-771-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUMPHANT FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-771-0053",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "QMHA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780989699",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.