Provider Demographics
NPI:1851957393
Name:BAYVIEW HUNTERS POINT FOUNDATION FOR COMMUNITY IMPROVEMENT INC
Entity Type:Organization
Organization Name:BAYVIEW HUNTERS POINT FOUNDATION FOR COMMUNITY IMPROVEMENT INC
Other - Org Name:JELANI FAMILY RESIDENTIAL STEP DOWN
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:BOUQUIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-468-5100
Mailing Address - Street 1:1625 CARROLL AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94124-3219
Mailing Address - Country:US
Mailing Address - Phone:415-468-5100
Mailing Address - Fax:415-468-5104
Practice Address - Street 1:1638 KIRKWOOD AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94124-2137
Practice Address - Country:US
Practice Address - Phone:415-671-1165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAYVIEW HUNTERS POINT FOUNDATION FOR COMMUNITY IMPROVEMENT INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-09
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management