Triumph Residential Services, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

927-02-001 Issued in VA

Legal business name

TRIUMPH RESIDENTIAL SERVICES, LLC

Practice address

16067 Continental Blvd
South Chesterfield, VA 23834-5900

Phone

(804) 520-0100

NPI assigned

Feb 2, 2015

Organization subpart

Yes

Parent organization

TRIUMPH RESIDENTIALAs reported in NPPES

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

Authorized official

Name

Lashanda Powell

Title

Executive Director

Phone

(804) 520-0100

Specialties & licenses 2

Addresses

Part of

Triumph Residential Services LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Triumph Residential, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Chesapeake, VA
  • NPI 1760021695
  NPPES parent name

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1376933051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16067 CONTINENTAL BLVD",
            "city": "SOUTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "238345900",
            "telephone_number": "804-520-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16067 CONTINENTAL BLVD",
            "city": "SOUTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "238345900",
            "telephone_number": "804-520-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUMPH RESIDENTIAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIUMPH RESIDENTIAL",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "LASHANDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-520-0100"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "927-02-006",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "927-02-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tremendous Hearts Developmental Services LLC
• Carolyn Turek, REGISTERED NURSE
• Imani Mone Vaughan
• Virginia Community Counseling LLC. Org
• Samantha Renee Weaver, BCBA
• Robert Emmett Wehmann, M.D., PH.D.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in South Chesterfield, VA
• Providers in South Chesterfield, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.