Provider Demographics
NPI:1245449404
Name:TRIUMPH OF SPECIAL PEOPLE, INC.
Entity type:Organization
Organization Name:TRIUMPH OF SPECIAL PEOPLE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:BAGERT
Authorized Official - Suffix:JR
Authorized Official - Credentials:JD
Authorized Official - Phone:504-523-1117
Mailing Address - Street 1:650 POYDRAS ST
Mailing Address - Street 2:SUITE 2708
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-6101
Mailing Address - Country:US
Mailing Address - Phone:504-568-0026
Mailing Address - Fax:504-522-5406
Practice Address - Street 1:650 POYDRAS ST
Practice Address - Street 2:SUITE 2708
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-6101
Practice Address - Country:US
Practice Address - Phone:504-568-0026
Practice Address - Fax:504-522-5406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA14100251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4504173Medicare ID - Type Unspecified