Provider Demographics
NPI:1801469671
Name:JEWISH HOME AND AGING SERVICES
Entity type:Organization
Organization Name:JEWISH HOME AND AGING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC DIR OF STRATEGIC INITIATIVES
Authorized Official - Prefix:
Authorized Official - First Name:BARBRA
Authorized Official - Middle Name:JILL
Authorized Official - Last Name:GILES
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:248-592-5029
Mailing Address - Street 1:15000 W 10 MILE RD
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-1427
Mailing Address - Country:US
Mailing Address - Phone:248-245-5565
Mailing Address - Fax:
Practice Address - Street 1:6710 W MAPLE RD
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3014
Practice Address - Country:US
Practice Address - Phone:248-661-2999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JEWISH SENIOR LIFE OF METROPOLITAN DETROIT, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility