Active NPI
Jewish Family and Children's Service
- Adult Day Care Clinic/Center
- Golden Valley, MN
National Provider Identifier
1619233434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- JEWISH FAMILY AND CHILDREN'S SERVICE
- Practice address
- 5905 Golden Valley Rd
Golden Valley, MN 55422-4463 - Phone
- (952) 546-0616
- Fax
- (952) 593-1778
- NPI assigned
- Apr 5, 2012
- Last updated
- May 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Belich
- Title
- Cfo
- Phone
- (952) 542-0616
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | MN | Primary |
Addresses
Primary practice location
5905 Golden Valley Rd
Golden Valley, MN 55422-4463
Mailing address
5905 Golden Valley Rd
Golden Valley, MN 55422-4463
Phone (952) 546-0616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 368816000 | Medicaid | MN |
National Provider Directory
National Provider Directory- Tax ID family
- Jewish Family and Children's Service
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Golden Valley, MN
- NPI 1477611853
-
- Case Management Agency
- Golden Valley, MN
- NPI 1225255144
-
- Home Health Agency
- Minneapolis, MN
- NPI 1356507479
Locations
5905 Golden Valley Rd
Minneapolis, MN 55422
Phone (952) 546-0616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683158400000",
"number": "1619233434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5905 GOLDEN VALLEY RD",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224463",
"telephone_number": "952-546-0616",
"fax_number": "952-593-1778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5905 GOLDEN VALLEY RD",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224463",
"telephone_number": "952-546-0616",
"fax_number": "952-593-1778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEWISH FAMILY AND CHILDREN'S SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-05",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A",
"authorized_official_last_name": "BELICH",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "952-542-0616"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "368816000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Golden Valley, MN
- Mary Jo Haugen Jensen, PT
- Shelby Joy Jensen
- Vanessa Dawn Jewell
- Jewish Family & Children's Service of Minneapolis
- Jewish Family & Children's Service of MPLS
- John Raymond Fenyk, Jr (Midwest Dermatoloty)
- Bethaney Colette Johnson, PHARMD
- Brittany Heather Johnson
- Chance Macauley Johnson, DC
- Christopher Stewart Johnson, DCM, LAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.