Provider Demographics
NPI:1164924577
Name:JOYFUL HEARTS COMMUNITY SERVICES INC.
Entity Type:Organization
Organization Name:JOYFUL HEARTS COMMUNITY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYKINS-BAPTISTE
Authorized Official - Suffix:
Authorized Official - Credentials:MSWPHD,JD
Authorized Official - Phone:510-789-6628
Mailing Address - Street 1:675 HEGENBERGER RD STE 241
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94621-1990
Mailing Address - Country:US
Mailing Address - Phone:510-343-9634
Mailing Address - Fax:
Practice Address - Street 1:675 HEGENBERGER RD STE 241
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94621-1990
Practice Address - Country:US
Practice Address - Phone:510-343-9634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-01
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable