Provider Demographics
NPI:1467332254
Name:LEAP FOR JOY FOUNDATION, INC.
Entity type:Organization
Organization Name:LEAP FOR JOY FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHENE
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:BOWIE-HUSSEY
Authorized Official - Suffix:
Authorized Official - Credentials:DRPH, MPH
Authorized Official - Phone:951-481-7772
Mailing Address - Street 1:6671 LANG CT
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-5652
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6671 LANG CT
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-5652
Practice Address - Country:US
Practice Address - Phone:951-481-7772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare