Organization Active NPI

Jewish Residential & Family Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Royal Palm Beach, FL
National Provider Identifier
1801069174
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
090920 Issued in FL
Legal business name
JEWISH RESIDENTIAL & FAMILY SERVICES
Practice address
198 Sparrow Dr
Royal Palm Beach, FL 33411-1697
Phone
(561) 684-1991
NPI assigned
Apr 8, 2008
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Neil P Newstein
Title
Executive Director
Phone
(561) 684-1991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 090920 FL Primary

Addresses

Primary practice location

198 Sparrow Dr
Royal Palm Beach, FL 33411-1697

Mailing address

5841 Corporate Way
Suite 200
West Palm Beach, FL 33407-2039
Phone (561) 684-1991

Other identifiers 1

IdentifierTypeStateIssuer
677114996MedicaidFL

National Provider Directory

National Provider Directory

Locations

198 Sparrow Dr
Royal Palm Beach, FL 33411
Phone (561) 684-1991

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1801069174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 CORPORATE WAY",
            "address_2": "SUITE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072039",
            "telephone_number": "561-684-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 SPARROW DR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111697",
            "telephone_number": "561-684-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH RESIDENTIAL & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "NEWSTEIN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "561-684-1991"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "090920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "677114996",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.