Healthcare Provider Details

I. General information

NPI: 1558721415
Provider Name (Legal Business Name): GREATER HOPE FOUNDATION FOR CHILDREN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2016
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 E MAIN ST
BARSTOW CA
92311-2332
US

IV. Provider business mailing address

PO BOX 1477
VICTORVILLE CA
92393-1477
US

V. Phone/Fax

Practice location:
  • Phone: 760-256-0432
  • Fax:
Mailing address:
  • Phone: 760-256-0432
  • 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: HELENA LOPEZ
Title or Position: CEO
Credential:
Phone: 760-243-3999