Provider Demographics
NPI:1003025982
Name:TRIUMPH HOME HEALTH AGENCY, INC.
Entity Type:Organization
Organization Name:TRIUMPH HOME HEALTH AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PATIENT CARE SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:AUGUSTINA
Authorized Official - Middle Name:NGOZI
Authorized Official - Last Name:OSUNWA
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:909-544-0326
Mailing Address - Street 1:112 S EUCLID AVE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91762-3809
Mailing Address - Country:US
Mailing Address - Phone:909-544-0326
Mailing Address - Fax:
Practice Address - Street 1:112 S EUCLID AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91762-3809
Practice Address - Country:US
Practice Address - Phone:909-544-0326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health