MEDICARE: TRIUMPH HOME HEALTH SUPPLIES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier
2	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	36908	OTHER	NE	BCBS OF NE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841286556
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIUMPH HOME HEALTH SUPPLIES INC.

Provider Business Mailing Address
First Line	:	4540 N 56TH ST STE A
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68507-2332
Country	:	US
Telephone Number	:	402-434-5080
Fax Number	:	402-434-5085

Provider Business Practice Location Address
First Line	:	4540 N 56TH ST
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68507-2332
Country	:	US
Telephone Number	:	402-434-5080
Fax Number	:	402-434-5085

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOSEPH FREY
Credential	:
Telephone Number	:	402-434-5080

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	07/19/2023

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