Provider Demographics
NPI:1336743749
Name:TRIUMPHANT HANDS A NJ NONPROFIT CORPORATION
Entity Type:Organization
Organization Name:TRIUMPHANT HANDS A NJ NONPROFIT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SEGUN
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUNYEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-461-0185
Mailing Address - Street 1:228 ROUTE 32 STE 105
Mailing Address - Street 2:
Mailing Address - City:CENTRAL VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10917-3649
Mailing Address - Country:US
Mailing Address - Phone:646-461-0185
Mailing Address - Fax:
Practice Address - Street 1:394 S 9TH STREET
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103
Practice Address - Country:US
Practice Address - Phone:646-461-0185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-25
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care