Healthcare Provider Details

I. General information

NPI: 1124983234
Provider Name (Legal Business Name): THE HOMELESS 7 CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 LAKE MERCED BLVD APT 12
DALY CITY CA
94015-3143
US

IV. Provider business mailing address

240 LAKE MERCED BLVD APT 12
DALY CITY CA
94015-3143
US

V. Phone/Fax

Practice location:
  • Phone: 415-697-6348
  • Fax:
Mailing address:
  • Phone: 415-697-6348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY DEWANE HARDNETT
Title or Position: DIRECTOR
Credential:
Phone: 415-697-6348