Organization Active NPI

Triumph Health & Wellness Center LLC

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1407564602
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
TRIUMPH HEALTH & WELLNESS CENTER LLC
Practice address
5600 Harford Rd 1St and 2ND Floors
Baltimore, MD 21214-2266
Phone
(410) 402-3311
NPI assigned
Nov 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Ms. Laverne Johnson
Title
Ceo
Phone
(410) 402-3311

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

5600 Harford Rd 1St and 2ND Floors
Baltimore, MD 21214-2266

Mailing address

5600 Harford Rd 1St and 2ND Floors
Baltimore, MD 21214-2266
Phone (410) 402-3311

Other practice location 1

5600 Harford Rd
Baltimore, MD 21214-2266
Phone (410) 402-3311

National Provider Directory

National Provider Directory

Locations

5600 Harford Rd
Baltimore, MD 21214
Phone (410) 402-3311

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1407564602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 HARFORD RD 1ST AND 2ND FLOORS",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142266",
            "telephone_number": "410-402-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 HARFORD RD 1ST AND 2ND FLOORS",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142266",
            "telephone_number": "410-402-3311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5600 Harford Rd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212142266",
            "country_code": "US",
            "telephone_number": "410-402-3311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRIUMPH HEALTH & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LAVERNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-402-3311",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.