Provider Demographics
NPI:1730490343
Name:TRIUMPH HEALTH CARE SERVICES INC.
Entity type:Organization
Organization Name:TRIUMPH HEALTH CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:OMOYEME
Authorized Official - Middle Name:
Authorized Official - Last Name:OBEAHON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-573-6736
Mailing Address - Street 1:10333 HARWIN DR STE 675
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-1571
Mailing Address - Country:US
Mailing Address - Phone:281-881-9131
Mailing Address - Fax:713-271-2298
Practice Address - Street 1:6538 GREATWOOD PKWY UNIT B
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-6312
Practice Address - Country:US
Practice Address - Phone:832-573-6736
Practice Address - Fax:713-271-2298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-29
Last Update Date:2024-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1730490343OtherNPI