Provider Demographics
NPI:1295061844
Name:CHELSEA JEWISH COMMUNITY, INC.
Entity type:Organization
Organization Name:CHELSEA JEWISH COMMUNITY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-889-0811
Mailing Address - Street 1:17 LAFAYETTE AVE
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02150-2010
Mailing Address - Country:US
Mailing Address - Phone:617-884-6766
Mailing Address - Fax:617-889-6176
Practice Address - Street 1:285 COMMANDANTS WAY
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-4057
Practice Address - Country:US
Practice Address - Phone:617-889-0811
Practice Address - Fax:617-889-8745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-02
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care