Organization Active NPI

Triumph Care Group LLC

  • Assisted Living Facility
  • Brooklyn Park, MN
National Provider Identifier
1487536835
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
TRIUMPH CARE GROUP LLC
Practice address
8200 Xenia Ave N
Brooklyn Park, MN 55443-2233
Phone
(612) 358-1807
NPI assigned
Jul 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Adebola- Phillips Gbadamosi, MD
Title
Managing Director
Phone
(612) 358-1807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

8200 Xenia Ave N
Brooklyn Park, MN 55443-2233

Mailing address

8200 Xenia Ave N
Brooklyn Park, MN 55443-2233
Phone (612) 358-1807

Other names 1

  • Triumph Care Group LLC Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2342119Triumph Care Group LLC8200 Xenia Ave N, Brooklyn Park, MN 55443Certificate of waiverApr 13, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1487536835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 XENIA AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432233",
            "telephone_number": "612-358-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 XENIA AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432233",
            "telephone_number": "612-358-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUMPH CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "GBADAMOSI",
        "authorized_official_first_name": "ADEBOLA- PHILLIPS",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "612-358-1807",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triumph Care Group LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.