Provider Demographics
NPI:1013252154
Name:HOSANNA COMMUNITY FOUNDATION, INC.
Entity Type:Organization
Organization Name:HOSANNA COMMUNITY FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DINKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:305-610-4164
Mailing Address - Street 1:PO BOX 541086
Mailing Address - Street 2:
Mailing Address - City:OPA LOCKA
Mailing Address - State:FL
Mailing Address - Zip Code:33054-1086
Mailing Address - Country:US
Mailing Address - Phone:305-610-4174
Mailing Address - Fax:305-637-4474
Practice Address - Street 1:2171 NW 56TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142-3011
Practice Address - Country:US
Practice Address - Phone:305-637-4404
Practice Address - Fax:305-637-4474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-30
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty