Healthcare Provider Details

I. General information

NPI: 1346709409
Provider Name (Legal Business Name): GREATER HOPE FOUNDATION FOR CHILDREN, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1735 W RAMSEY ST STE 108-110
BANNING CA
92220-4215
US

IV. Provider business mailing address

PO BOX 1477
VICTORVILLE CA
92393-1477
US

V. Phone/Fax

Practice location:
  • Phone: 951-849-0400
  • Fax: 760-256-0537
Mailing address:
  • Phone: 760-243-3999
  • Fax: 760-256-0537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. HELENA LOPEZ
Title or Position: CEO
Credential: JD MBA
Phone: 760-256-0432