NPIMap

Organization Active NPI

Jewish Family Service Association

  • Home Health Agency
  • Beachwood, OH
National Provider Identifier
1902866908
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JEWISH FAMILY SERVICE ASSOCIATION
Practice address
3659 Green Road
PDC Building Suite 316
Beachwood, OH 44122-5727
Phone
(216) 378-8663
Fax
(216) 378-8662
NPI assigned
Mar 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Ms. Janet Stephan, MPA,CPHQ
Title
Senior Director of Client Services
Phone
(216) 504-6421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

3659 Green Road
PDC Building Suite 316
Beachwood, OH 44122-5727

Mailing address

3659 Green Rd
PDC Building Suite 316
Beachwood, OH 44122-5727
Phone (216) 378-8663

Other identifiers 1

IdentifierTypeStateIssuer
2230544MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Jewish Family Service a6 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.

Locations

3659 Green Rd
Ste 316
Beachwood, OH 44122
Phone (216) 378-8663

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902866908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3659 GREEN RD",
            "address_2": "PDC BUILDING SUITE 316",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225727",
            "telephone_number": "216-378-8663",
            "fax_number": "216-378-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3659 GREEN ROAD",
            "address_2": "PDC BUILDING SUITE 316",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225727",
            "telephone_number": "216-378-8663",
            "fax_number": "216-378-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH FAMILY SERVICE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEPHAN",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF CLIENT SERVICES",
        "authorized_official_telephone_number": "216-504-6421",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPA,CPHQ"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2230544",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

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.