NPIMap

Organization Active NPI

Jewish Community Homes for Adult Independence

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Bala Cynwyd, PA
National Provider Identifier
1801925425
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
JEWISH COMMUNITY HOMES FOR ADULT INDEPENDENCE
Practice address
21 Bala Ave
Suite 100
Bala Cynwyd, PA 19004-3203
Phone
(610) 667-7875
Fax
(610) 667-7882
NPI assigned
Mar 2, 2007
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
Stacy Jarett Levitan, ESQ.
Title
Executive Director
Phone
(610) 667-7875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X PA Primary

Addresses

Primary practice location

21 Bala Ave
Suite 100
Bala Cynwyd, PA 19004-3203

Mailing address

21 Bala Ave
Suite 100
Bala Cynwyd, PA 19004-3203
Phone (610) 667-7875

National Provider Directory

National Provider Directory
Tax ID family
Jchai3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801925425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BALA AVE",
            "address_2": "SUITE 100",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043203",
            "telephone_number": "610-667-7875",
            "fax_number": "610-667-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BALA AVE",
            "address_2": "SUITE 100",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043203",
            "telephone_number": "610-667-7875",
            "fax_number": "610-667-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH COMMUNITY HOMES FOR ADULT INDEPENDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVITAN",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "JARETT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-667-7875",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

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.