GULF COAST JEWISH FAMILY SERVICES (NPI# 1194900985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194900985 |
| Entity Type | Organization |
| Organization Name | GULF COAST JEWISH FAMILY SERVICES |
| Other Organization Name | 66TH STREET GROUP HOME |
| Practice Address |
3180 66th St N St Petersburg FL 33710-3165 |
| Practice Telephone | 7278931661 |
| Practice Fax Number | 7278931663 |
| Mailing Telephone | 7278931661 |
| Mailing Fax Number | 7278931663 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |
| Authorized Official Name | DIANA J ROBERTSON (CFO) |
| Authorized Official Telephone | 7274791800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
430 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | ST OF FL AHCA LICENSE | 430 | 01 |
| Other Name | Type Code |
|---|---|
| 66TH STREET GROUP HOME | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245440874 | Gulf Coast Jewish Family Services | Psychiatric Residential Treatment Facility | 3142 Darlington Road, Holiday, FL 34691 | 2007-05-23 |
| 1598974818 | Gulf Coast Jewish Family Services | Community/Behavioral Health | 6451 126th Ave Ste 300, Largo, FL 33773-1866 | 2007-05-22 |
| 1366651929 | Gulf Coast Jewish Family Services | PACE Provider Organization | 5744 Missouri Ave, New Port Richey, FL 34652-2718 | 2007-05-21 |
| 1699985218 | Gulf Coast Jewish Family Services | Community/Behavioral Health | 2425 Chatlin Rd, Holiday, FL 34691-3366 | 2007-05-23 |
| 1407065816 | Gulf Coast Jewish Family Services | Case Management | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2007-05-22 |
| 1669681078 | Gulf Coast Jewish Family Services | PACE Provider Organization | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2007-05-22 |
| 1578772984 | Gulf Coast Jewish Family Services | Community/Behavioral Health | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2007-05-22 |
| 1295944601 | Gulf Coast Jewish Family Services | Community/Behavioral Health | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2007-05-22 |
| 1013126424 | Gulf Coast Jewish Family Services | Hospice Care, Community Based | 13542 N Florida Ave, Tampa, FL 33613-3263 | 2007-05-22 |
| 1922217330 | Gulf Coast Jewish Family Services | Hospice Care, Community Based | 13542 N Florida Ave, Tampa, FL 33613-3263 | 2007-05-22 |
| Street Address |
3180 66TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33710-3165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
| 1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
| 1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
| 1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
| 1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
| 1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
| 1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
| 1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
| 1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
| Find all providers in zip 33710 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831508241 | Autumn House | Assisted Living Facility | 880 17th Ave S, St Petersburg, FL 33701-5716 | 2014-08-11 |
| 1437572104 | Tectrust Incorporated | Assisted Living Facility | 434 4th St N, St Petersburg, FL 33701-2804 | 2014-01-30 |
| 1043642606 | Adrian Manor | Assisted Living Facility | 2168 9th Ave N, St Petersburg, FL 33713-7134 | 2013-08-06 |
| 1285075986 | Loving Care of St Petersburg | Assisted Living Facility | 1001 9th St N, St Petersburg, FL 33701-1514 | 2013-07-10 |
| 1386944064 | Alcove Retirement Center IIi | Assisted Living Facility | 2801 4th St N, St Petersburg, FL 33704 | 2010-10-27 |
| 1770742231 | Everlasting Grace Assisted Living Inc. | Assisted Living Facility | 1325 4th St N, St Petersburg, FL 33701-1117 | 2008-06-09 |
| 1164475067 | Shrinathji, Inc | Assisted Living Facility | 2349 Central Ave, St Petersburg, FL 33713-8845 | 2006-05-19 |
| 1407238504 | Amelia Assisted Living Facility, Inc | Assisted Living Facility | 2135 40th Ave N, St Petersburg, FL 33714-4124 | 2015-06-24 |
| 1053746107 | Mental Health Group of Greater Tampa Bay | Assisted Living Facility | 2349 Central Ave, St Petersburg, FL 33713-8845 | 2013-09-09 |
| 1942518501 | The Peacekeepers' Den Inc. | Assisted Living Facility | 1325 4th St N, St Petersburg, FL 33701-1117 | 2010-09-16 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33710 |
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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.