Gulf Coast Jewish Family And Community Services in Clearwater - Community Based Residential Treatment Facility, Mental Illness

Gulf Coast Jewish Family And Community Services - NPI 1851500409

Gulf Coast Jewish Family And Community Services is a Community Based Residential Treatment Facility, Mental Illness in Clearwater, Florida. Gulf Coast Jewish Family And Community Services practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Gulf Coast Jewish Family And Community Services is 1851500409. The last update date is 2022-02-18.

Gulf Coast Jewish Family And Community Services's current location address is 14041 Icot Blvd, Clearwater, Florida. You can contact this provider via phone number 7274507269 and fax number 7274791248. The mailing address for Gulf Coast Jewish Family And Community Services is 14041 Icot Blvd, Clearwater, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gulf Coast Jewish Family And Community Services
Address 14041 Icot Blvd, Clearwater, Florida
Phone Number 7274507269
Fax Number 7274791248
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR C
Authorized Official Name Yandek Jimenez Carolyn
Telephone Number 7274303291

NPI Number Detail

NPI Number 1851500409
Provider Enumeration Date 2007-05-21
Last Updated Date 2022-02-18

Provider Mailing Address Detail

Address 14041 Icot Blvd
City Clearwater
State Florida (FL)
Post Code 337603702
Phone Number 7274507269
Fax Number 7274791248

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Mental Illness
Taxonomy 320800000X
Licence No 8601
Definition:
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60569703 FL --
8601 FL STATE OF FL - AHCA

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FAQs about Gulf Coast Jewish Family And Community Services

What is the unique 10-digit identification code issued to Gulf Coast Jewish Family And Community Services by the Centers for Medicare & Medicaid Services?

The Gulf Coast Jewish Family And Community Services has been assigned the NPI (National Provider Identifier) 1851500409 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Gulf Coast Jewish Family And Community Services is located?

The Gulf Coast Jewish Family And Community Services is situated at the following address: 14041 Icot Blvd, Clearwater, FL, 337603702.

What is Gulf Coast Jewish Family And Community Services's area of expertise and its corresponding taxonomy classification?

The Gulf Coast Jewish Family And Community Services's field of specialization is Community Based Residential Treatment Facility, Mental Illness, and it falls under the taxonomy code 320800000X, which categorizes healthcare providers based on their areas of practice.

On what date did Gulf Coast Jewish Family And Community Services receive its 1851500409 assignment from the Centers for Medicare & Medicaid Services?

The Gulf Coast Jewish Family And Community Services was assigned its 1851500409 on 2007-05-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Gulf Coast Jewish Family And Community Services most recently updated or revised?

The details related to Gulf Coast Jewish Family And Community Services, including its address, specialty, and other relevant information, were last updated or revised on 2022-02-18.

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