Provider Demographics
NPI:1073210985
Name:GENESIS HOPEFUL HAVEN, INC
Entity Type:Organization
Organization Name:GENESIS HOPEFUL HAVEN, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRITZIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAINTOIRY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:786-571-9604
Mailing Address - Street 1:19000 SW 112TH AVE
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-6600
Mailing Address - Country:US
Mailing Address - Phone:786-571-9604
Mailing Address - Fax:
Practice Address - Street 1:19000 SW 112TH AVE
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-6600
Practice Address - Country:US
Practice Address - Phone:786-227-6704
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No251B00000XAgenciesCase Management
No253J00000XAgenciesFoster Care AgencyGroup - Single Specialty