GULF COAST JEWISH FAMILY SERVICES (NPI# 1699985218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699985218 |
| Entity Type | Organization |
| Organization Name | GULF COAST JEWISH FAMILY SERVICES |
| Practice Address |
2425 Chatlin Rd Holiday FL 34691-3366 |
| Mailing Address |
14041 Icot Blvd Clearwater FL 33760-3702 |
| Practice Telephone | 7274507269 |
| Practice Fax Number | 7274791248 |
| Mailing Telephone | 7274507269 |
| Mailing Fax Number | 7274791248 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2011-03-14 |
| Authorized Official Name | CARLA WASHINKO (CFO) |
| Authorized Official Telephone | 7274791800 |
| 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 |
|---|---|---|---|
| FL | 060569709 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194900985 | Gulf Coast Jewish Family Services | Assisted Living Facility | 3180 66th St N, St Petersburg, FL 33710-3165 | 2007-12-31 |
| 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 |
| 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 |
2425 CHATLIN RD |
| City | HOLIDAY |
| State | FL |
| Zip Code | 34691-3366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346459468 | Gulf Coast Jewish Family and Community Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2425 Chatlin Rd, Holiday, FL 34691-3366 | 2007-05-22 |
| 1578913349 | Christine Pringle | Counselor | 2425 Chatlin Rd, Holiday, FL 34691-3366 | 2016-06-13 |
| 1356722540 | Brittany Rochelle Graniero | Counselor | 2425 Chatlin Rd, Holiday, FL 34691-3366 | 2015-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417407826 | Janet Hernandez | Nurse Practitioner | 2435 Us Hwy 19, Suite 210, Holiday, FL 34691 | 2016-10-10 |
| 1285081869 | Jeannie Giberson | General Acute Care Hospital | 4313 Tahitian Gardens Drive K2, Holiday, FL 34691 | 2016-05-24 |
| 1790108058 | Home Medical Visits LLC | Internal Medicine | 2435 Us Highway 19 Ste 300, Holiday, FL 34691 | 2014-01-22 |
| 1770878712 | Rachel Rosa | Behavioral Analyst | 4249 Plaza Drive #304, Holiday, FL 34691 | 2011-06-17 |
| 1144414574 | Shervin Ardalani | Dentist | 4539 Sunray Drive, None, Holiday, FL 34691 | 2007-08-29 |
| 1245440874 | Gulf Coast Jewish Family Services | Psychiatric Residential Treatment Facility | 3142 Darlington Road, Holiday, FL 34691 | 2007-05-23 |
| 1659416626 | Michael M Shaw | Counselor | 2425 Chatlin Road, Holiday, FL 34691 | 2007-02-20 |
| 1316957947 | George William Lazenby | Ophthalmology | 1109 Us Hwy 19, Holiday, FL 34691 | 2006-08-08 |
| 1770531899 | Rajesh V Patel | Internal Medicine | 1162 Alternate 19 N, Holiday, FL 34691 | 2006-05-04 |
| 1871560904 | Vikram M Atit | Psychiatry & Neurology | 1011 Us Hwy 19, Holiday, FL 34691 | 2006-03-07 |
| Find all providers in zip 34691 | ||||
| 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] |
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| 1235739806 | Twins Medical Services Corp | Community/Behavioral Health | 4051 E 8th Ave Ste 5, Hialeah, FL 33013-2800 | 2020-10-31 |
| 1558961110 | Family Evolution Mental Health Care Inc | Community/Behavioral Health | 2500 Nw 79th Ave Ste 255, Doral, FL 33122-1087 | 2020-10-31 |
| 1538769534 | Psycare LLC | Community/Behavioral Health | 10740 W Flagler St Ste 112, Miami, FL 33174-4405 | 2020-10-28 |
| 1508466533 | Exceptional Healthcare Services Corp | Community/Behavioral Health | 13240 N Cleveland Ave Ste 1, North Fort Myers, FL 33903-4855 | 2020-10-28 |
| 1417556903 | Genesis Community Mental Health LLC | Community/Behavioral Health | 6043 Nw 167th St Ste A10, Hialeah, FL 33015-4322 | 2020-10-26 |
| 1871192328 | Wellness Community & Medical Center Inc | Community/Behavioral Health | 946 E 25th St, Hialeah, FL 33013-3404 | 2020-10-25 |
| Find all providers with the same taxonomy | ||||
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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.