Provider Demographics
NPI:1942082458
Name:HOMELESS GARDEN PROJECT
Entity Type:Organization
Organization Name:HOMELESS GARDEN PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GANZHORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-426-3609
Mailing Address - Street 1:PO BOX 617
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95061-0617
Mailing Address - Country:US
Mailing Address - Phone:831-426-3609
Mailing Address - Fax:
Practice Address - Street 1:30 W CLIFF DR
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-5419
Practice Address - Country:US
Practice Address - Phone:831-426-3609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable