- Enrollment id
- O20220812000298
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1619566379
- Multiple npi flag
- N
- Ccn
- 757958
- Associate id
- 2860875531
- Organization name
- TRIUMPH HOME HEALTH CARE SERVICES
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 333 N SANTA ANITA AVE
- Address line 2
- STE 14
- City
- ARCADIA
- State
- CA
- Zip code
- 910062820