Organization
JEWISH SOCIAL SERVICE AGENCY
Active
Other names
Jewish Social Service Agency - Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN PONTON (DIRECTOR, PATIENT ACCOUNTS)
(301) 816-2616
Entity
Organization
Contact information
Practice address
6123 MONTROSE RD, ROCKVILLE, MD 20852-4860
(301) 881-3700
(301) 816-2628
Mailing address
6123 MONTROSE RD, ROCKVILLE, MD 20852-4860
(301) 881-3700
(301) 770-3242
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
H1508
MD
163W00000X
Registered Nurse
H1508
MD
251G00000X
Community Based Hospice Care Agency
Primary
—
—
374U00000X
Home Health Aide
H1508
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100491
KAISER
MD
01
—
2948867
AETNA HMO
MD
05
—
553235307
—
MD
01
—
585
BCBS OF MD
MD
01
—
7800379
AETNA PPO
MD
Enumeration date
08/24/2006
Last updated
11/05/2020
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