NPIMap

Organization Active NPI

Jewish Family Service Association

  • Community/Behavioral Health Agency
  • Pepper Pike, OH
National Provider Identifier
1659445153
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JEWISH FAMILY SERVICE ASSOCIATION
Practice address
29125 Chagrin Blvd.
Pepper Pike, OH 44122-4622
Phone
(216) 292-3999
Fax
(216) 916-9126
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Ms. Barbara Cameron
Title
Cfo / V.P.
Phone
(216) 504-6408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

29125 Chagrin Blvd.
Pepper Pike, OH 44122-4622

Mailing address

29125 Chagrin Blvd.
Pepper Pike, OH 44122-4622
Phone (216) 504-6476

Other identifiers 3

IdentifierTypeStateIssuer
0574061MedicaidOH
0959566MedicaidOH
4618OtherOHOHIO MACSIS MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000003 OH Part B Supplier - Clinic/Group Practice 8729990023 Receives reassigned benefits from 22 practitioners
2 other NPIs on this enrollment
Practice locations: Pepper Pike, OH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Jewish Family Service a6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1659445153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29125 CHAGRIN BLVD.",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441224622",
            "telephone_number": "216-504-6476",
            "fax_number": "216-916-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29125 CHAGRIN BLVD.",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441224622",
            "telephone_number": "216-292-3999",
            "fax_number": "216-916-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH FAMILY SERVICE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CFO / V.P.",
        "authorized_official_telephone_number": "216-504-6408",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0574061",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0959566",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MACSIS MEDICAID",
            "identifier": "4618",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pepper Pike, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.