Active NPI
Triumphant Homes LLC
- Mental Illness Community Based Residential Treatment Facility
- Goldsboro, NC
National Provider Identifier
1861258006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Child Intellectual and/or Developmental Disabilities Respite Care
- Goldsboro, NC
- NPI 1730945080
-
- Mental Illness Community Based Residential Treatment Facility
- Goldsboro, NC
- NPI 1962268532
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.