Triumph Private Home Care, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

TRIUMPH PRIVATE HOME CARE, LLC

Practice address

2813 White Oak LN
Decatur, GA 30032-5510

Phone

(404) 532-9226

NPI assigned

Oct 24, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Keith Sullivan

Title

Owner

Phone

(803) 242-8857

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1659098440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 WHITE OAK LN",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300325510",
            "telephone_number": "404-532-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 WHITE OAK LN",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300325510",
            "telephone_number": "404-532-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUMPH PRIVATE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-242-8857",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Decatur, GA
• Providers in Decatur, GA by specialty
• Nursing Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.