NPIMap

Organization Active NPI

Gulf Coast Jewish Family and Community Services

  • Community/Behavioral Health Agency
  • Oakland Park, FL
National Provider Identifier
1851500409
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES
Practice address
201 NE 40TH CT
Oakland Park, FL 33334-1311
Phone
(727) 450-7269
Fax
(727) 479-1248
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Illness Community Based Residential Treatment Facility 320800000X 8601 FL

Addresses

Primary practice location

201 NE 40TH CT
Oakland Park, FL 33334-1311

Mailing address

14041 Icot Blvd
Clearwater, FL 33760-3702
Phone (727) 450-7269

Other identifiers 2

IdentifierTypeStateIssuer
060569703MedicaidFL
8601OtherFLSTATE OF FL - AHCA

Other names 1

  • GULF COAST COMMUNITY CARE Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2076648Gulf Coast Jewish Family & Community Services Inc201 NE 40TH CT, Oakland Park, FL 33334Certificate of waiverApr 22, 2028

National Provider Directory

National Provider Directory
Tax ID family
Gulf Coast Jewish Family Services25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1851500409",
    "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": "201 NE 40TH CT",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333341311",
            "telephone_number": "727-450-7269",
            "fax_number": "727-479-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "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
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "FL",
            "license": "8601",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060569703",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FL - AHCA",
            "identifier": "8601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GULF COAST COMMUNITY CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GULF COAST COMMUNITY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland Park, FL

Sources for this page

  • 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.