| Jewish Family Service Agency | |
|
5851 W Charleston Blvd Las Vegas NV 89146-1290 | |
| (702) 732-0304 | |
| (702) 794-2033 |
| Full Name | Jewish Family Service Agency |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5851 W Charleston Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Kenneth Moskowtiz (PRESIDENT/CEO) |
| Authorized Official Contact | 7027320304 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Family Service Agency 5851 W Charleston Blvd Las Vegas NV 89146-1290 Ph: (702) 732-0304 | Jewish Family Service Agency 5851 W Charleston Blvd Las Vegas NV 89146-1290 Ph: (702) 732-0304 |
| NPI Number | 1881724250 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Medicare PECOS PAC ID | 1456320142 |
|---|---|
| Medicare Enrollment ID | O20040929000697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881724250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2000002323 (Nevada) | Primary |
| Provider Name | Beth Asaf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699257402 PECOS PAC ID: 3577914498 Enrollment ID: I20240104003183 |
| Provider Name | Melinda Wiafe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083929228 PECOS PAC ID: 0244681104 Enrollment ID: I20240104004681 |
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