NPIMap

Organization Active NPI

Gulf Coast Jewish Family and Community Services

  • Community/Behavioral Health Agency
  • Holiday, FL
National Provider Identifier
1245440874
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES
Practice address
3142 Darlington Road
Holiday, FL 34691
Phone
(727) 430-3291
Fax
(727) 479-1248
NPI assigned
May 23, 2007
Last updated
Feb 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carolyn Jimenez Yandek
Title
Director Credentialing/Billing
Phone
(727) 430-3291

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 8618 FL
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3142 Darlington Road
Holiday, FL 34691

Mailing address

14041 Icot Blvd
Clearwater, FL 33760-3702
Phone (727) 450-7269

Other identifiers 1

IdentifierTypeStateIssuer
060569710MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Gulf Coast Jewish Family Services25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1245440874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14041 ICOT BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603702",
            "telephone_number": "727-450-7269",
            "fax_number": "727-479-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 DARLINGTON ROAD",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "34691",
            "telephone_number": "727-430-3291",
            "fax_number": "727-479-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "YANDEK",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "JIMENEZ",
        "authorized_official_title_or_position": "DIRECTOR CREDENTIALING/BILLING",
        "authorized_official_telephone_number": "727-430-3291"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "FL",
            "license": "8618",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060569710",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holiday, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.