OrganizationActive
Triumph Residential, LLC
NPI 1760021695 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Chesapeake, VA
Provider details
- NPI number
- 1760021695
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Vernon Tillage, Ceo(757) 761-3921
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3001 Churchland Blvd
Chesapeake, VA 23321-5603
Phone: (757) 761-3921
Street-level locationGet directions
Mailing address
3921 Old Farm Rd
Portsmouth, VA 23703-2623
Registry dates
- Enumerated
- 2019-12-23
- Last updated
- 2019-12-23
- Certified
- 2019-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.