MEDICARE: TRIUMPH SENIOR CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	253Z00000X	In Home Supportive Care Agency
3	343900000X	Non-emergency Medical Transport (VAN)
4	332U00000X	Home Delivered Meals
5	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1902541626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIUMPH SENIOR CARE LLC

Provider Business Mailing Address
First Line	:	2424 FRANKLIN ST STE 207
Second Line	:
City	:	MICHIGAN CITY
State	:	IN
Zip	:	46360-4562
Country	:	US
Telephone Number	:	219-315-6811
Fax Number	:

Provider Business Practice Location Address
First Line	:	2424 FRANKLIN ST STE 207
Second Line	:
City	:	MICHIGAN CITY
State	:	IN
Zip	:	46360-4562
Country	:	US
Telephone Number	:	219-315-6811
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MS. JASMINE MCFERSON
Credential	:
Telephone Number	:	219-315-6811

Provider Enumeration Date	:	04/28/2022
Last Update Date	:	01/23/2026

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