Provider Demographics
NPI:1063448934
Name:JEWISH FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:JEWISH FAMILY SERVICES, INC.
Other - Org Name:JFS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:DARLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-282-5644
Mailing Address - Street 1:6718 PATTERSON AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-3419
Mailing Address - Country:US
Mailing Address - Phone:804-282-5644
Mailing Address - Fax:804-285-0006
Practice Address - Street 1:6718 PATTERSON AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-3419
Practice Address - Country:US
Practice Address - Phone:804-282-5644
Practice Address - Fax:804-285-0006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4900928674OtherCLIA
VA497554Medicare Oscar/Certification