Provider Demographics
NPI:1356507479
Name:JEWISH FAMILY & CHILDREN'S SERVICES
Entity Type:Organization
Organization Name:JEWISH FAMILY & CHILDREN'S SERVICES
Other - Org Name:KOSHER MEALS ON WHEELS
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BELICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-546-0616
Mailing Address - Street 1:5905 GOLDEN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55422-4463
Mailing Address - Country:US
Mailing Address - Phone:952-546-0616
Mailing Address - Fax:952-593-1778
Practice Address - Street 1:1313 5TH ST SE
Practice Address - Street 2:#328
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-4504
Practice Address - Country:US
Practice Address - Phone:612-623-3363
Practice Address - Fax:612-331-9401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-29
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN500958001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA500958001OtherUMPI