MEDICARE: TRIUMPH HEALTH CARE, 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	251E00000X	Home Health Agency	NP2864	NC
2	251E00000X	Home Health Agency	HC2386	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770668790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIUMPH HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	1800 MARTIN LUTHER KING PKWY
Second Line	:	SUITE 103
City	:	DURHAM
State	:	NC
Zip	:	27707-3500
Country	:	US
Telephone Number	:	919-401-6140
Fax Number	:	919-401-6142

Provider Business Practice Location Address
First Line	:	1800 MARTIN LUTHER KING PKWY
Second Line	:	SUITE 103
City	:	DURHAM
State	:	NC
Zip	:	27707-3500
Country	:	US
Telephone Number	:	919-401-6140
Fax Number	:	919-401-6142

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DAVIS OKPAMEN
Credential	:
Telephone Number	:	919-401-6140

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	08/22/2020

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Directions to “TRIUMPH HEALTH CARE, INC. ” Practice Location

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