Provider Demographics
NPI:1659761153
Name:GREATER JEWISH HEALTH SYSTEM LLC
Entity Type:Organization
Organization Name:GREATER JEWISH HEALTH SYSTEM LLC
Other - Org Name:GREATER JEWISH ENRICHMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:C
Authorized Official - Last Name:CASTANEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-222-9404
Mailing Address - Street 1:1250 E HALLANDALE BEACH BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-4634
Mailing Address - Country:US
Mailing Address - Phone:954-613-7293
Mailing Address - Fax:954-613-7216
Practice Address - Street 1:1250 E HALLANDALE BEACH BLVD STE B
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-4634
Practice Address - Country:US
Practice Address - Phone:954-613-7293
Practice Address - Fax:954-613-7216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-04
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care