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JEWISH BOARD OF FAMILY AND CHILDREN SERVICES NPI 1689758955


NPI Information

NPI: 1689758955
Provider Name: JEWISH BOARD OF FAMILY AND CHILDREN SERVICES

Other Name: PRIDE OF JUDEA

Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X
Entity Type: Organization
Address:
JEWISH BOARD AND CHILDREN AND FAMILY SERVICES
PRIDE OF JUDEA COMMUNITY SERVICES (CLINIC)
DOUGLASTON, NY
ZIP 11362
Phone: (718) 423-6200
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JEWISH BOARD OF FAMILY AND CHILDREN SERVICES is a program of all inclusive care for the elderly pace provider organization in Douglaston, NY. The provider is a PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. JEWISH BOARD OF FAMILY AND CHILDREN SERVICES NPI is 1689758955. The provider is registered as an organization entity type.
The provider Other Name Is Pride Of Judea.

The provider's business location address is:

JEWISH BOARD AND CHILDREN AND FAMILY SERVICES
PRIDE OF JUDEA COMMUNITY SERVICES (CLINIC)
DOUGLASTON, NY
ZIP 11362
Phone: (718) 423-6200
Fax: (718) 423-9762

The provider's authorized official is Deborah Sue Gellis .
The authorized official title is Licenced Clinical Social Worker and has the following contact phone number (718) 961-3521.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 8/22/2020.


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
1251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization071-000-1NEW YORKYes

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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