Organization Active NPI

Jevs Human Services

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1851766125
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JEVS HUMAN SERVICES
Practice address
9350 Ashton Rd
Suite 201
Philadelphia, PA 19114-3400
Phone
(267) 350-8600
Fax
(215) 255-4777
NPI assigned
Dec 11, 2015
Reactivated
Feb 8, 2024
Last updated
Feb 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Ms. Clara Thompson
Title
Sr Executive Director
Phone
(267) 350-8600

Specialties & licenses 1

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

Addresses

Primary practice location

9350 Ashton Rd
Suite 201
Philadelphia, PA 19114-3400

Mailing address

1845 Walnut St FL 7
Philadelphia, PA 19103-4713

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181214000056 PA Part B Supplier - Clinic/Group Practice 8325352792 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory
Tax ID family
Jevs Human Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

9350 Ashton Rd
Rm 201
Philadelphia, PA 19114
Phone (267) 350-2655

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1851766125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 WALNUT ST FL 7",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 ASHTON RD",
            "address_2": "SUITE 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191143400",
            "telephone_number": "267-350-8600",
            "fax_number": "215-255-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEVS HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "deactivation_date": "2024-02-02",
        "reactivation_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CLARA",
        "authorized_official_title_or_position": "SR EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "267-350-8600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.