JENCARE NEIGHBORHOOD MEDICAL SHOCKOE BOTTOM, LLC (NPI# 1922392497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922392497 |
| Entity Type | Organization |
| Organization Name | JENCARE NEIGHBORHOOD MEDICAL SHOCKOE BOTTOM, LLC |
| Other Organization Name | JENCARE NEIGHBORHOOD MEDICAL SHOCKOE BOTTOM |
| Practice Address |
1712 E Broad St Richmond VA 23223-6930 |
| Mailing Address |
20801 Nw 2nd Ave Miami FL 33169-2103 |
| Practice Telephone | 8046440059 |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2011-08-24 |
| Authorized Official Name | MARY CHEN (ADMININSTRATOR) |
| Authorized Official Telephone | 3055567500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| JenCare Neighborhood Medical Shockoe Bottom | Doing Business As Name - Organization |
| Street Address |
1712 E BROAD ST |
| City | RICHMOND |
| State | VA |
| Zip Code | 23223-6930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932278561 | Daniel F. Mccarter | Family Medicine | 1712 E Broad St, Richmond, VA 23223 | 2006-11-07 |
| 1255863817 | William Henry Gray IIi | Registered Nurse | 1712 E Broad St, Richmond, VA 23223-6930 | 2017-03-31 |
| 1427430834 | Zainab Jalal | Family Medicine | 1712 E Broad St, Richmond, VA 23223 | 2015-06-22 |
| 1174936587 | Shruthi Sambamoorthy | Internal Medicine | 1712 E Broad St, Richmond, VA 23223-6930 | 2014-06-04 |
| 1376837120 | Pmr Meds | Specialist | 1712 E Broad St, Richmond, VA 23223-6930 | 2011-06-08 |
| 1841506375 | Sheila Jeanette Turbides Minaya | Internal Medicine | 1712 E Broad St, Richmond, VA 23223-6930 | 2010-08-21 |
| 1083844096 | Bikram Saini | Family Medicine | 1712 E Broad St, Richmond, VA 23223-6930 | 2009-07-24 |
| 1134304983 | Craig Peter Tanio | Internal Medicine | 1712 E Broad St, Richmond, VA 23223-6930 | 2007-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295291953 | Hope Pharmacy, Inc. | Pharmacy | 1330 N. 25th Street, Richmond, VA 23223 | 2019-02-18 |
| 1063918019 | Terri Ann Russell | Social Worker | Henrico County Public Schools, 3820 Nine Mile Rd., Henrico, VA 23223 | 2018-03-30 |
| 1871092171 | Sharon H. Joyner | Non-emergency Medical Transport (VAN) | 3217 Arthurwood Pl, Richmond, VA 23223 | 2018-02-02 |
| 1497275309 | Jennifer Lynn Dent | Physical Therapist | 10 S 20th Street, Unit U408, Richmond, VA 23223 | 2017-06-21 |
| 1568982551 | Andrea Sledd | Social Worker | 200 N. 22nd Street, Richmond, VA 23223 | 2017-06-21 |
| 1528597903 | Ashley Telisa Battle | Physical Therapy Assistant | 12100 Chancellors Village Lane, Fredericksburg, VI 23223 | 2017-06-08 |
| 1811436199 | Dedric Lee Sr. | Home Health Aide | 527 N Laburnum Ave Apt 2, Richmond, VA 23223 | 2017-02-20 |
| 1619424181 | Brighter Prospective Residential Services, LLC | Transportation Broker | 2509 Tonoka Road, Henrico, VA 23223 | 2016-09-01 |
| 1629425277 | Spread Your Wings | Non-emergency Medical Transport (VAN) | 709 Hallwood Farms Dr., Richmond, VA 23223 | 2016-05-24 |
| 1396120010 | Robert Reaves Griffin IIi | Pharmacist | 3601 Mechanicsville Turnpike, Richmond, VA 23223 | 2015-07-23 |
| Find all providers in zip 23223 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407382948 | Bharti Mehta | Specialist | 9609 Gayton Rd Ste 102, Richmond, VA 23238-4900 | 2017-05-03 |
| 1912454265 | Ivan Tolbert | Specialist | 1702 Dakota Ave, Richmond, VA 23220-6911 | 2016-09-03 |
| 1447608625 | Lorraine Closser | Specialist | 68753 S Main St, Richmond, MI 48062-1209 | 2016-05-29 |
| 1992173561 | Paige Weekes | Specialist | 3200 Manorcrest Rd, Richmond, VA 23234-2335 | 2015-09-12 |
| 1396123519 | Lori Dotson | Specialist | 401 Lewis Dr, Richmond, KY 40475-7723 | 2015-05-07 |
| 1174929178 | Sonya Seng | Specialist | 5500 Monument Ave Ste M, Richmond, VA 23226-1452 | 2014-11-18 |
| 1568881837 | Adaugo Amuta | Specialist | 19515 Stetson Heights Ln, Richmond, TX 77407-5583 | 2014-04-15 |
| 1306277983 | Tabitha Ames | Specialist | 3748 Morningside Dr, Richmond, CA 94803-2128 | 2013-12-06 |
| 1659705945 | Emily Sarah Bracy | Specialist | 1310 Gilchrist Ct, Richmond, VA 23231-5110 | 2013-08-22 |
| 1386076206 | Marcia Elizabeth Logan | Specialist | 25543 Canyon Crossing Dr, Richmond, TX 77406-7278 | 2013-08-01 |
| Find all providers in RICHMOND | ||||
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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.