Provider Demographics
NPI:1902822091
Name:JEWISH FAMILY SERVICES
Entity Type:Organization
Organization Name:JEWISH FAMILY SERVICES
Other - Org Name:JEWISH FAMILY SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOZENTER
Authorized Official - Suffix:
Authorized Official - Credentials:JA
Authorized Official - Phone:614-559-0186
Mailing Address - Street 1:1070 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209-2374
Mailing Address - Country:US
Mailing Address - Phone:614-231-1890
Mailing Address - Fax:614-231-4978
Practice Address - Street 1:1070 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43209-2374
Practice Address - Country:US
Practice Address - Phone:614-231-1890
Practice Address - Fax:614-231-4978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH10494Medicaid
OH2433487Medicaid
OH2433487Medicaid
OH10494Medicaid