Provider Demographics
NPI:1073162202
Name:JEWISH COLLABORATIVE SERVICES
Entity Type:Organization
Organization Name:JEWISH COLLABORATIVE SERVICES
Other - Org Name:JEWISH SENIORS AGENCY OF RI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MERELISE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HITTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-331-1244
Mailing Address - Street 1:1165 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-5740
Mailing Address - Country:US
Mailing Address - Phone:401-331-1244
Mailing Address - Fax:
Practice Address - Street 1:1165 N MAIN ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-5740
Practice Address - Country:US
Practice Address - Phone:401-331-1244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-10
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
No333300000XSuppliersEmergency Response System CompaniesGroup - Multi-Specialty