Provider Demographics
NPI:1427364892
Name:SARASOTA-MANATEE JEWISH HOUSING COUNCIL, INC.
Entity Type:Organization
Organization Name:SARASOTA-MANATEE JEWISH HOUSING COUNCIL, INC.
Other - Org Name:BENDERSON FAMILY SKILLED NURSING AND REHAB CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-377-0781
Mailing Address - Street 1:1951 N HONORE AV
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34235-9117
Mailing Address - Country:US
Mailing Address - Phone:941-377-0871
Mailing Address - Fax:941-377-1893
Practice Address - Street 1:1959 N HONORE AV
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34235-9117
Practice Address - Country:US
Practice Address - Phone:941-379-3553
Practice Address - Fax:941-342-0215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-24
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
310400000X
FLSNF130471046314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003371700Medicaid
FL003371700Medicaid