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GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES NPI 1245440874


NPI Information

NPI: 1245440874
Provider Name: GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
3142 DARLINGTON ROAD
HOLIDAY, FL
ZIP 34691
Phone: (727) 430-3291
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GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES is a community behavioral health in Holiday, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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. GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES NPI is 1245440874. The provider is registered as an organization entity type.

The provider's business location address is:

3142 DARLINGTON ROAD
HOLIDAY, FL
ZIP 34691
Phone: (727) 430-3291
Fax: (727) 479-1248

The provider's authorized official is Carolyn Jimenez Yandek .
The authorized official title is Director Credentialing/billing and has the following contact phone number (727) 430-3291.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 2/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1323P00000XPsychiatric Residential Treatment Facility8618FLORIDANo
2251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1060569710MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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