NPIMap

Organization Active NPI

The Jewish Home for the Elderly of Fairfield County

Doing business as Jewish Senior Service

  • Assisted Living Facility
  • Norwalk, CT
National Provider Identifier
1871156828
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
THE JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY
Doing business as
Jewish Senior Service
Practice address
60 Gregory Blvd
Norwalk, CT 06855-2043
Phone
(203) 365-6400
Fax
(203) 396-1108
NPI assigned
Apr 16, 2019
Last updated
Apr 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Authorized official

Name
Sheila Robinson
Title
Ar Supervisor
Phone
(203) 396-1075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

60 Gregory Blvd
Norwalk, CT 06855-2043

Mailing address

4200 Park Ave
Bridgeport, CT 06604-1049
Phone (203) 396-1075

Other names 1

  • Jewish Senior Service Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Jewish Home for the Elderly of Fairfield County6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1871156828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 PARK AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066041049",
            "telephone_number": "203-396-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 GREGORY BLVD",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068552043",
            "telephone_number": "203-365-6400",
            "fax_number": "203-396-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "AR SUPERVISOR",
        "authorized_official_telephone_number": "203-396-1075"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jewish Senior Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.