Gulf Coast Jewish Family and Community Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES, INC.

Practice address

14041 Icot Blvd
Clearwater, FL 33760-3702

Phone

(727) 450-7269

Fax

(727) 479-1248

NPI assigned

Nov 20, 2006

Last updated

Feb 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carolyn Jimenez Yandek

Title

Director Credentialing/Billing

Phone

(727) 430-3291

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1811061955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14041 ICOT BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603702",
            "telephone_number": "727-450-7269",
            "fax_number": "727-479-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14041 ICOT BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603702",
            "telephone_number": "727-450-7269",
            "fax_number": "727-479-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "YANDEK",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "JIMENEZ",
        "authorized_official_title_or_position": "DIRECTOR CREDENTIALING/BILLING",
        "authorized_official_telephone_number": "727-430-3291"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Guirguis
• Gulf Coast Jewish Family and Community Services, Inc
• Gulf Coast Jewish Family and Community Services, Inc.
• Gulf Coast Jewish Family and Community Services, Inc.
• Gulf Coast Jewish Family and Community Services, Inc.
• Gulf Coast Jewish Family Services
• Gulf Coast Jewish Family Services (Gulf Coast Community Care)
• Gulf Coast Jewish Family Services
• Gulf Coast Jewish Family Services
• Gulf Coast Jewish Famly and Community Services, Inc.

• Community/Behavioral Health Agency in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.