Active NPI
Triumph Enterprises Inc.
- Community/Behavioral Health Agency
- Durham, NC
National Provider Identifier
1336263276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- TRIUMPH ENTERPRISES INC.
- Practice address
- 5205 Peppercorn St
Durham, NC 27704-1109 - Phone
- (919) 491-8125
- Fax
- (336) 638-6501
- NPI assigned
- Mar 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Anna Leonor Flack, I.T.F.S.
- Title
- President
- Phone
- (919) 491-8125
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
5205 Peppercorn St
Durham, NC 27704-1109
Mailing address
PO Box 38163
Greensboro, NC 27438-8163
Phone (919) 491-8125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8301461 | Medicaid | NC |
Other names 1
- The Horizon Center Rehabilitative Services
National Provider Directory
National Provider Directory- Tax ID family
- The Horizon Center Rehabilitative Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Durham, NC
- NPI 1336324284
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": "1174089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1336263276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 38163",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274388163",
"telephone_number": "919-491-8125",
"fax_number": "336-638-6501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5205 PEPPERCORN ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277041109",
"telephone_number": "919-491-8125",
"fax_number": "336-638-6501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIUMPH ENTERPRISES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FLACK",
"authorized_official_first_name": "ANNA",
"authorized_official_middle_name": "LEONOR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-491-8125",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "I.T.F.S."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8301461",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Horizon Center Rehabilitative Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.