66Th Street Group Home

LBN: Gulf Coast Jewish Family Services
66Th Street Group Home is an health care organization with primary practice located at 3180 66Th St N , St Petersburg FL 33710-3165. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as the primary health care specialty. Gulf Coast Jewish Family Services can be contacted via phone (727) 893-1661, or through Robertson, Diana J via phone (727) 479-1800.

Contact Information

Primary practice address
3180 66Th St N St Petersburg FL 33710-3165
Phone: (727) 893-1661
Fax: (727) 893-1663
Website:
Map and Directions
Authorized official contact:
Name: Robertson, Diana J
Phone: (727) 479-1800

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X 430 Florida

Profile Details

NPI number 1194900985
LBN Legal business name Gulf Coast Jewish Family Services
DBA Doing business as 66Th Street Group Home
Authorized official Robertson, Diana J
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2007
Last updated Dec 31st, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194900985 NPPES
Florida Other 430 ST OF FL AHCA LICENSE

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