NPIMap

Organization Active NPI

PMR la Holding, LLC

Doing business as Jencare Senior Medical Center Westwego

  • Non-Pharmacy Dispensing Site
  • Westwego, LA
National Provider Identifier
1174288559
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
PMR LA HOLDING, LLC
Doing business as
Jencare Senior Medical Center Westwego
Practice address
1070 Westbank Expy
Westwego, LA 70094-4713
Phone
(504) 688-2211
Fax
(504) 688-2223
NPI assigned
Nov 1, 2021
Last updated
Nov 1, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
PMR LA HOLDING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Chen
Title
Executive Officer
Phone
(305) 628-6117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

1070 Westbank Expy
Westwego, LA 70094-4713

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (305) 628-6117

Other names 1

  • JENCARE SENIOR MEDICAL CENTER WESTWEGO Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2235149Jencare Senior Medical Center - Westwego1070 Westbank Expressway, Westwego, LA 70094Certificate of waiverSep 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
PMR la Holding LLC6 organizations share this tax ID, including this one
Part of
PMR la Holding LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1174288559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 WESTBANK EXPY",
            "city": "WESTWEGO",
            "state": "LA",
            "postal_code": "700944713",
            "telephone_number": "504-688-2211",
            "fax_number": "504-688-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMR LA HOLDING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PMR LA HOLDING, LLC",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "305-628-6117"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JENCARE SENIOR MEDICAL CENTER WESTWEGO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westwego, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.