Organization Active NPI

Triumph Care Group

  • Day Training/Habilitation Specialist
  • Glendale, AZ
National Provider Identifier
1497510887
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Legal business name
TRIUMPH CARE GROUP
Doing business as
Triumph Care Group
Practice address
4494 W Peoria Ave Ste 101
Glendale, AZ 85302-2024
Phone
(602) 687-2043
NPI assigned
Feb 15, 2024
Last updated
Feb 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Idris RobersonNPI 1639957277
Title
Owner/Ceo
Phone
(602) 687-2043

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X NU Primary

Addresses

Primary practice location

4494 W Peoria Ave Ste 101
Glendale, AZ 85302-2024

Mailing address

4494 W Peoria Ave Ste 101
Glendale, AZ 85302-2024
Phone (602) 687-2043

Other names 1

  • Triumph Care Group Doing business as

National Provider Directory

National Provider Directory

Locations

4494 W Peoria Ave
Ste 101
Glendale, AZ 85302
Phone (602) 687-2043

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1497510887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4494 W PEORIA AVE STE 101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853022024",
            "telephone_number": "602-687-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4494 W PEORIA AVE STE 101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853022024",
            "telephone_number": "602-687-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUMPH CARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "IDRIS",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "602-687-2043"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triumph Care Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.