Provider Demographics
NPI:1902866908
Name:JEWISH FAMILY SERVICE ASSOCIATION
Entity Type:Organization
Organization Name:JEWISH FAMILY SERVICE ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR DIRECTOR OF CLIENT SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MPA,CPHQ
Authorized Official - Phone:216-504-6421
Mailing Address - Street 1:3659 GREEN RD
Mailing Address - Street 2:PDC BUILDING SUITE 316
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5727
Mailing Address - Country:US
Mailing Address - Phone:216-378-8663
Mailing Address - Fax:216-378-8662
Practice Address - Street 1:3659 GREEN ROAD
Practice Address - Street 2:PDC BUILDING SUITE 316
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5727
Practice Address - Country:US
Practice Address - Phone:216-378-8663
Practice Address - Fax:216-378-8662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2230544Medicaid
OH2230544Medicaid