Organization Active NPI

Triumphant Homes LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Goldsboro, NC
National Provider Identifier
1861258006
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
TRIUMPHANT HOMES LLC
Practice address
200 W Ash St Ste 205
Goldsboro, NC 27530-3679
Phone
(919) 648-5782
NPI assigned
Feb 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Sierra Patrice Jones
Title
Owner
Phone
(919) 648-5782

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Mental Illness Community Based Residential Treatment Facility 320800000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
Children's Substance Abuse Rehabilitation Facility 3245S0500X

Addresses

Primary practice location

200 W Ash St Ste 205
Goldsboro, NC 27530-3679

Mailing address

200 W Ash St Ste 205
Goldsboro, NC 27530-3679
Phone (919) 648-5782

National Provider Directory

National Provider Directory
Tax ID family
Triumphant Homes LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1861258006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ASH ST STE 205",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275303679",
            "telephone_number": "919-648-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ASH ST STE 205",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275303679",
            "telephone_number": "919-648-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUMPHANT HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SIERRA",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-648-5782"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.