JEWISH FAMILY SERVICE ASSOCIATION (NPI# 1659445153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659445153 |
| Entity Type | Organization |
| Organization Name | JEWISH FAMILY SERVICE ASSOCIATION |
| Practice Address |
29125 Chagrin Blvd. Pepper Pike OH 44122-4622 |
| Practice Telephone | 2162923999 |
| Practice Fax Number | 2169169126 |
| Mailing Telephone | 2165046476 |
| Mailing Fax Number | 2169169147 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | MR. DAVID HLAVAC (CFO / V.P.) |
| Authorized Official Telephone | 2165046408 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0959566 | 05 | |
| OH | OHIO MACSIS MEDICAID | 4618 | 01 |
| OH | 0574061 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418258 | Jewish Family Service Association | Intermediate Care Facility, Mentally Retarded | 8132 Cedar Rd, Chesterland, OH 44026-3548 | 2020-02-12 |
| 1902866908 | Jewish Family Service Association | Home Health | 3659 Green Road, Pdc Building Suite 316, Beachwood, OH 44122-5727 | 2006-03-24 |
| 1679992226 | Jewish Family Service Association | Registered Nurse | 24075 Commerce Park, Beachwood, OH 44122-5846 | 2014-04-10 |
| 1639518970 | Jewish Family Service Association | Public Health or Welfare | 29125 Chagrin Blvd., Pepper Pike, OH 44122-4622 | 2013-06-20 |
| 1528192655 | Jewish Family Service Association | Physical Therapist | 29125 Chagrin Blvd, Pepper Pike, OH 44122-4622 | 2007-03-14 |
| Street Address |
29125 CHAGRIN BLVD. |
| City | PEPPER PIKE |
| State | OH |
| Zip Code | 44122-4622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710486477 | Igor Gofman | Case Manager/Care Coordinator | 29125 Chagrin Blvd., Pepper Pike, OH 44122-4412 | 2018-02-08 |
| 1639518970 | Jewish Family Service Association | Public Health or Welfare | 29125 Chagrin Blvd., Pepper Pike, OH 44122-4622 | 2013-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093816209 | Beech Brook | Community/Behavioral Health | 3737 Lander Road, Pepper Pike, OH 44124 | 2006-09-26 |
| 1992302780 | Taylor Cathleen Castle | Community/Behavioral Health | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-10-05 |
| 1558970095 | Nicole Taylor Didomenico | Community/Behavioral Health | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-07-30 |
| 1528676947 | James Michael Cato | Community/Behavioral Health | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-07-22 |
| 1477178655 | Lauren Elyse Walters | Community/Behavioral Health | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-06-12 |
| 1710508890 | Chantal Cierra Noble | Community/Behavioral Health | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-04-30 |
| 1003436825 | Clotilda J Njovu | Community/Behavioral Health | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-04-22 |
| 1245868132 | Tamika La'tia Hunter | Community/Behavioral Health | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-03-28 |
| 1184254450 | Carolyn Anne Blattler | Community/Behavioral Health | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-01-24 |
| 1649800285 | Leah Patricia Marzilli | Community/Behavioral Health | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-01-23 |
| Find all providers in PEPPER PIKE | ||||
| City | PEPPER PIKE |
| Zip Code | 44122 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.