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SAGUARO GROUP LLC DBA TRIUMPH NPI 1659692143


NPI Information

NPI: 1659692143
Provider Name: SAGUARO GROUP LLC DBA TRIUMPH

Doing Business As: TRIUMPH LLC & COMMUNITY INNOVATIONS, INC.

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
725 HIGHLAND AVE
2ND FLOOR
WINSTON SALEM, NC
ZIP 27101
Phone: (336) 607-8501
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SAGUARO GROUP LLC DBA TRIUMPH is a community behavioral health in Winston Salem, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. SAGUARO GROUP LLC DBA TRIUMPH NPI is 1659692143. The provider is registered as an organization entity type.
The provider Is Doing Business As Triumph Llc & Community Innovations, Inc..

The provider's business location address is:

725 HIGHLAND AVE
2ND FLOOR
WINSTON SALEM, NC
ZIP 27101-206
Phone: (336) 607-8501
Fax: (336) 725-4030

The provider's authorized official is Harold E Jones .
The authorized official title is President and has the following contact phone number (919) 256-0824.

The enumeration date for this NPI number is 6/18/2010 and was last updated on 7/18/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNORTH CAROLINANo
2101YM0800XCounselorMental HealthNo
3101YP2500XCounselorProfessionalNo
4103TC0700XPsychologistClinicalNo
51041C0700XSocial WorkerClinicalNo
6251B00000XCase ManagementNORTH CAROLINANo
7251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13410029MEDICAIDNORTH CAROLINA
28703001MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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