=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083939250
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JEWISH FAMILY SERVICE ASSOCIATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/31/2010
-----------------------------------------------------
Last Update Date | 12/31/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 29125 CHAGRIN BLVD
-----------------------------------------------------
City | PEPPER PIKE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44122-4622
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-378-8660
-----------------------------------------------------
Fax | 216-916-9126
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 29125 CHAGRIN BLVD
-----------------------------------------------------
City | PEPPER PIKE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44122-4609
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-504-6476
-----------------------------------------------------
Fax | 216-916-9147
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CFO AND VP
-----------------------------------------------------
Name | BARBARA ANN CAMERON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 216-509-0759
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251C00000X
-----------------------------------------------------
Taxonomy Name | Developmentally Disabled Services Day Training Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 332U00000X
-----------------------------------------------------
Taxonomy Name | Home Delivered Meals
-----------------------------------------------------
License Number | 0863025
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------