Provider Demographics
NPI:1487536835
Name:TRIUMPH CARE GROUP LLC
Entity type:Organization
Organization Name:TRIUMPH CARE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ADEBOLA- PHILLIPS
Authorized Official - Middle Name:
Authorized Official - Last Name:GBADAMOSI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:612-358-1807
Mailing Address - Street 1:8200 XENIA AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-2233
Mailing Address - Country:US
Mailing Address - Phone:612-358-1807
Mailing Address - Fax:
Practice Address - Street 1:8200 XENIA AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-2233
Practice Address - Country:US
Practice Address - Phone:612-358-1807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility