MEDICARE: JFS PARTNERS ADULT DAY HEALTH CARE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center		CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063602985
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JFS PARTNERS ADULT DAY HEALTH CARE CENTER

Provider Business Mailing Address
First Line	:	7362 SANTA MONICA BLVD
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90046-6619
Country	:	US
Telephone Number	:	323-883-0330
Fax Number	:	323-883-0344

Provider Business Practice Location Address
First Line	:	7362 SANTA MONICA BLVD
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90046-6619
Country	:	US
Telephone Number	:	323-883-0330
Fax Number	:	323-883-0344

Authorized Official
Title or Position	:	DIRECTOR OF LONG TERM CARE
Name	:	MS. ERICA LODGEN
Credential	:	MFT
Telephone Number	:	818-769-0560

Provider Enumeration Date	:	07/26/2007
Last Update Date	:	07/21/2022

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