Healthcare Provider Details

I. General information

NPI: 1578060521
Provider Name (Legal Business Name): SOUND OF TRIUMPH HOME CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2018
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6374 CORBAN CV APT 301
BARTLETT TN
38135
US

IV. Provider business mailing address

PO BOX 343168
BARTLETT TN
38184-3168
US

V. Phone/Fax

Practice location:
  • Phone: 901-631-1940
  • Fax: 901-347-1259
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberI000000022060
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: BRIDGETT RENEE BRADLEY
Title or Position: OWNER
Credential:
Phone: 901-318-6967