Organization Active NPI

Hebrew Home for the Aged Disabled

Doing business as Jewish Home

  • Skilled Nursing Facility
  • San Francisco, CA
National Provider Identifier
1588725352
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HEBREW HOME FOR THE AGED DISABLED
Doing business as
Jewish Home
Practice address
302 Silver Ave
San Francisco, CA 94112-1510
Phone
(415) 469-2262
Fax
(415) 333-4345
NPI assigned
Dec 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Angella Shee
Title
Billing Accountant
Phone
(415) 469-2262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

302 Silver Ave
San Francisco, CA 94112-1510

Mailing address

302 Silver Ave
San Francisco, CA 94112-1510
Phone (415) 469-2262

Other identifiers 1

IdentifierTypeStateIssuer
HSP34089FMedicaidCA

Other names 1

  • JEWISH HOME Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Edwin Hassid MD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588725352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 SILVER AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121510",
            "telephone_number": "415-469-2262",
            "fax_number": "415-333-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 SILVER AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121510",
            "telephone_number": "415-469-2262",
            "fax_number": "415-333-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBREW HOME FOR THE AGED DISABLED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEE",
        "authorized_official_first_name": "ANGELLA",
        "authorized_official_title_or_position": "BILLING ACCOUNTANT",
        "authorized_official_telephone_number": "415-469-2262"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP34089F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JEWISH HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.