Healthcare Provider Details

I. General information

NPI: 1043413305
Provider Name (Legal Business Name): JEWISH COMMUNITY CARE AT HOME CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29125 CHAGRIN BLVD
BEACHWOOD OH
44122-4609
US

IV. Provider business mailing address

29125 CHAGRIN BLVD
BEACHWOOD OH
44122-4609
US

V. Phone/Fax

Practice location:
  • Phone: 216-378-8660
  • Fax: 216-916-9126
Mailing address:
  • Phone: 216-504-6476
  • Fax: 216-916-9126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number367770
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. KAREN TINDEL
Title or Position: DIRECTOR
Credential:
Phone: 216-504-6476