JEFFCARE (NPI# 1992359772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992359772 |
| Entity Type | Organization |
| Organization Name | JEFFCARE |
| Practice Address |
5001 West Bank Expressway Marrero LA 70072-2954 |
| Mailing Address |
3616 S I-10 Service Road W. Metairie LA 70001-1874 |
| Practice Telephone | 5048466983 |
| Practice Fax Number | 5048385714 |
| Mailing Telephone | 5048466983 |
| Mailing Fax Number | 5048385714 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |
| Authorized Official Name | JULIE M SHAW (DIVISION DIRECTOR JEFFCARE) |
| Authorized Official Telephone | 5048466983 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| JeffCare West Jefferson | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518383785 | Jeffcare | Clinic/Center | 3616 S I 10 Service Rd W, Suite 100, Metairie, LA 70001-1874 | 2014-03-12 |
| 1154747327 | Jeffcare | Clinic/Center | 5001 Westbank Expy, Suite 100, Marrero, LA 70072-2954 | 2014-03-12 |
| Street Address |
5001 WEST BANK EXPRESSWAY |
| City | MARRERO |
| State | LA |
| Zip Code | 70072-2954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
| 1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
| 1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
| 1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
| 1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
| 1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
| 1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
| 1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
| 1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
| 1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
| Find all providers in zip 70072 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831729631 | Access Health Louisiana | Clinic/Center | 2590 Barataria Blvd, Marrero, LA 70072-5304 | 2020-01-21 |
| 1205470432 | Jefferson Community Health Care Centers Inc | Clinic/Center | 7201 Lapalco Blvd, Marrero, LA 70072-4523 | 2019-10-31 |
| 1265883904 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 7017 Lapalco Blvd, Marrero, LA 70072 | 2016-06-23 |
| 1811123664 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 1855 Ames Blvd Ste B, Marrero, LA 70072-3429 | 2009-06-08 |
| 1093759888 | Jefferson Community Health Care Centers Inc | Clinic/Center | 1855 Ames Blvd, Suite B, Marrero, LA 70072-3429 | 2006-06-15 |
| 1427419811 | Priority Health Care | Clinic/Center | 4700 Wichers Dr, Suite 303, Marrero, LA 70072-3041 | 2016-03-11 |
| 1760800064 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 1855 Ames Blvd, Suite B, Marrero, LA 70072-3429 | 2014-04-03 |
| 1942628243 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 1855 Ames Blvd, Suite B, Marrero, LA 70072-3429 | 2014-04-03 |
| 1154747327 | Jeffcare | Clinic/Center | 5001 Westbank Expy, Suite 100, Marrero, LA 70072-2954 | 2014-03-12 |
| 1760734156 | John Ehret School Based Health Center Mental Health Services | Clinic/Center | 4300 Patriot St, Marrero, LA 70072-4305 | 2012-10-09 |
| Find all providers in MARRERO | ||||
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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.