GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES, INC. (NPI# 1770672032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770672032 |
| Entity Type | Organization |
| Organization Name | GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES, INC. |
| Practice Address |
14041 Icot Blvd Clearwater FL 33760-3702 |
| Practice Telephone | 7274507269 |
| Practice Fax Number | 7274791248 |
| Mailing Telephone | 7274507269 |
| Mailing Fax Number | 7274791248 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2014-04-30 |
| Authorized Official Name | CARLA WASHINKO (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7274791800 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 323P00000X | Psychiatric Residential Treatment Facility | FL | Residential Treatment Facilities | |
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 060569709 | 05 | |
| FL | 060569714 | 05 | |
| FL | 029915401 | 05 | |
| FL | BCBS OF FLORIDA | Z105Y | 01 |
| PSYCHCARE | 1130180 | 01 | |
| FL | 060569700 | 05 | |
| FL | AETNA | 7812787 | 01 |
| FL | AMERIGROUP | 234010 | 01 |
| FL | 029915400 | 05 | |
| FL | 060569703 | 05 | |
| FL | 060569710 | 05 | |
| FL | MHN NETWORK | 177849 | 01 |
| FL | MANAGED CARE PROVIDER ID | 006356700 | 01 |
| FL | 060569701 | 05 | |
| FL | 060569715 | 05 | |
| FL | MAGELLAN | 224612000 | 01 |
| 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 |
| 1316156722 | Gulf Coast Jewish Family and Community Services, Inc. | Case Management | 225 W Busch Blvd, #200, Tampa, FL 33612-7945 | 2007-05-22 |
| 1891058616 | Gulf Coast Jewish Family and Community Services, Inc. | Community/Behavioral Health | 5623 Us Highway 19, Suite 304, New Port Richey, FL 34652-3700 | 2012-06-18 |
| 1144597774 | Gulf Coast Jewish Family and Community Services, Inc. | Community/Behavioral Health | 3950 Biscayne Blvd, #300, Miami, FL 33137-3721 | 2011-11-28 |
| 1740483833 | Gulf Coast Jewish Family and Community Services, Inc. | Community/Behavioral Health | 14041 Icot Blvd, Clearwater, FL 33760 | 2007-06-07 |
| 1104035518 | Gulf Coast Jewish Family and Community Services, Inc. | Hospice Care, Community Based | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2007-05-22 |
| 1811061955 | Gulf Coast Jewish Family and Community Services, Inc. | Community/Behavioral Health | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2006-11-20 |
| Street Address |
14041 ICOT BLVD |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33760-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477563419 | Amy Ballou | Nurse Practitioner | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2006-08-09 |
| 1659772671 | Bethany J Hutto | Social Worker | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2014-09-09 |
| 1336400803 | Meghan Harrigan | Social Worker | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2012-05-31 |
| 1720353170 | Angela Goudie | Social Worker | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2012-03-19 |
| 1669744066 | Barbara Francine Gerson | Social Worker | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2012-01-31 |
| 1033405972 | Jamie Joerres | Social Worker | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2011-06-20 |
| 1457661878 | Stacy Nicole Hazlip | Case Manager/Care Coordinator | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2010-10-19 |
| 1952618522 | Gayle M. Gauger | Counselor | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2010-09-02 |
| 1285953760 | Joyce Lynn Walker | Counselor | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2010-05-24 |
| 1154640621 | Velma Kathleen Mohr | Counselor | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2010-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053813444 | Enver Ruzdija Arnp LLC | Clinic/Center | 14690 Sugar Cane Way, Clearwater, FL 33760 | 2018-03-01 |
| 1528577087 | Csi-pediatric Services, Inc | Clinic/Center | 5291 110th Ave, Clearwater, FL 33760 | 2017-09-27 |
| 1457877094 | Healthcare Alliance LLC | In Home Supportive Care | 13575 58 St N, Ste 178, Clearwater, FL 33760 | 2017-08-15 |
| 1497208805 | 211 Tampa Bay Cares, Inc. | Voluntary or Charitable | 14155 58th Street North, Suite 211, Clearwater, FL 33760 | 2016-08-02 |
| 1760885503 | Amanda Pawlik | Physical Therapist | 13830 58th St. N., Suite 409, Clearwater, FL 33760 | 2014-10-08 |
| 1871842252 | Christine Lynne Felix | Radiology | 2028 Arbor Drive, Clearwater, FL 33760 | 2012-08-31 |
| 1194072017 | Anna Mccord | Speech-Language Pathologist | 13575 58th Street North, Clearwater, FL 33760 | 2012-08-09 |
| 1245460195 | Patricia Kathrine Clay | Occupational Therapist | 4902 Creekside Dr Ste A, Clearwater, FL 33760 | 2009-07-24 |
| 1346447992 | Tms Management Group, Inc. | Transportation Broker | 16331 Bay Vista Dr, Clearwater, FL 33760 | 2007-06-28 |
| 1730266461 | Joan Marie Jannino | Social Worker | 2188 58th St. N., Clearwater, FL 33760 | 2006-11-01 |
| Find all providers in zip 33760 | ||||
| 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 |
|---|---|---|---|---|
| 1881161164 | Health Nexus LLC | Community/Behavioral Health | 3118 Gulf To Bay Blvd Ste 226d, Clearwater, FL 33759-4553 | 2018-10-25 |
| 1013371269 | Tanika Dampier | Community/Behavioral Health | 215 N Saturn Ave, Clearwater, FL 33755-5926 | 2016-04-13 |
| 1205228251 | Heads | Community/Behavioral Health | 10 S Pegasus Ave, Clearwater, FL 33765-3432 | 2015-02-28 |
| 1215345061 | Rescare Behavior Services, Inc. | Community/Behavioral Health | 24761 Us Highway 19 N, Clearwater, FL 33763-3933 | 2014-07-24 |
| 1366855587 | Mindworks On Call | Community/Behavioral Health | 2878 Fair Green Dr, Clearwater, FL 33761-1845 | 2014-06-05 |
| 1043568371 | Camelot Community Care | Community/Behavioral Health | 4910 Creekside Dr, Suite D, Clearwater, FL 33760-4023 | 2012-08-16 |
| 1174884134 | Applied Behavior Approaches of Tampa Bay Inc. | Community/Behavioral Health | 2225 Nursery Rd, Apt 13-203, Clearwater, FL 33764 | 2012-06-06 |
| 1730326141 | House of Mercy & Encouragement | Community/Behavioral Health | 2723 Belle Haven Dr, Clearwater, FL 33763-1002 | 2009-01-07 |
| 1174785323 | Proactive Behavior Solutions Incorporated | Community/Behavioral Health | 2460 Northside Dr, Apt 1303, Clearwater, FL 33761-2242 | 2008-06-30 |
| 1225178437 | Abilities Inc of Florida | Community/Behavioral Health | 2735 Whitney Rd, Clearwater, FL 33760-1610 | 2007-02-07 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33760 |
Please comment or provide details below to improve the information on GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES, INC..
| 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.