JEFFERSON COMMUNITY HEALTH CARE CENTERS INC (NPI# 1255977245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255977245 |
| Entity Type | Organization |
| Organization Name | JEFFERSON COMMUNITY HEALTH CARE CENTERS INC |
| Other Organization Name | INCLUCIVCARE |
| Practice Address |
3932 Highway 90 W Avondale LA 70094-2648 |
| Mailing Address |
4028 Highway 90 W Avondale LA 70094-2622 |
| Practice Telephone | 5044378523 |
| Mailing Telephone | 5433414006 |
| Mailing Fax Number | 5042674737 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | WANDA ROSE (CFO) |
| Authorized Official Telephone | 5042067738 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| InclucivCare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205470432 | Jefferson Community Health Care Centers Inc | Clinic/Center | 7201 Lapalco Blvd, Marrero, LA 70072-4523 | 2019-10-31 |
| 1639321714 | Jefferson Community Health Care Centers Inc | Community/Behavioral Health | 3211 Highway 1, Grand Isle, LA 70358 | 2008-10-21 |
| 1093759888 | Jefferson Community Health Care Centers Inc | Clinic/Center | 1855 Ames Blvd, Suite B, Marrero, LA 70072-3429 | 2006-06-15 |
| 1124000773 | Jefferson Community Health Care Centers Inc | General Practice | 4028 Highway 90 W, Avondale, LA 70094-2622 | 2005-11-18 |
| 1891831376 | Jefferson Community Health Care Centers Inc | Family Medicine | 11312 Jefferson Hwy, River Ridge, LA 70123-1709 | 2007-01-30 |
| Street Address |
3932 HIGHWAY 90 W |
| City | AVONDALE |
| State | LA |
| Zip Code | 70094-2648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780686519 | Vonda Lynette Gaitor | Nurse Practitioner | 3932 Highway 90 W, Avondale, LA 70094 | 2005-08-11 |
| 1780230474 | Oto-obong Collins | Nurse Practitioner | 3932 Highway 90 W, Avondale, LA 70094-2648 | 2019-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326549593 | Jesucare Transportation Services | Non-emergency Medical Transport (VAN) | 1409 West Dr #b, Westwego, LA 70094 | 2018-02-23 |
| 1861921157 | Jelessa Penn | Specialist/Technologist | 43 Lucille St., Waggaman, LA 70094 | 2017-06-08 |
| 1538691035 | Raqual Badeaux | Case Manager/Care Coordinator | 705 Chipley St, Westwego, LA 70094 | 2017-04-03 |
| 1316486905 | Hong Tran | Pharmacist | 173 June Dr., Avondale, LA 70094 | 2017-02-16 |
| 1114466703 | Dwayne M Hawkins | Counselor | 321 Georgetown Dr., Avondale, LA 70094 | 2017-02-16 |
| 1568912251 | Keyanna Adams | Case Manager/Care Coordinator | 41 Clifford Ct, Westwego, LA 70094 | 2016-10-06 |
| 1669838074 | Joann Blair | Counselor | 251 Laroussini St, Westwego, LA 70094 | 2016-01-14 |
| 1538524699 | Chevella Austin | Counselor | 269 Glendella Dr, Avondale, LA 70094 | 2015-12-16 |
| 1164895025 | Tiffeny Haynes | Case Manager/Care Coordinator | 104 Dillard Dr, Westwego, LA 70094 | 2015-11-01 |
| 1952710766 | Thien Nguyen | Dentist | 125 Poplar St., Westwego, LA 70094 | 2014-08-06 |
| Find all providers in zip 70094 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1073039061 | Alex M Negrusa | Pharmacy | 280 N Avondale Blvd, Avondale, AZ 85323-6902 | 2017-08-21 |
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| 1740890144 | Downtown Drugs Inc | Pharmacy | 338 N Vermont St, Covington, LA 70433-2812 | 2020-07-31 |
| 1053929703 | Viallon Drug Co of Donaldsonville | Pharmacy | 309 Marchand Dr, Donaldsonville, LA 70346-3242 | 2020-07-20 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1417573593 | Doc Your Dose Pharmacy, LLC | Pharmacy | 17275 Hwy 77, Gross Tete, LA 70740 | 2020-06-24 |
| 1942829247 | Good Vibe Ventures LLC | Pharmacy | 5004 W Esplanade Ave Ste A, Metairie, LA 70006-2551 | 2020-04-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.