Jencare Neighborhood Medical Hull St, LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

JENCARE NEIGHBORHOOD MEDICAL HULL ST, LLC

Doing business as

JenCare Neighborhood Medical Center

Practice address

6550 Hull Street Rd
Richmond, VA 23224-2636

Phone

(305) 653-1770

NPI assigned

May 24, 2012

Organization subpart

No

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

Authorized official

Name

Mary Chen

Title

Authorized Official

Phone

(305) 831-4722

Specialties & licenses 3

Addresses

Other names 1

• JenCare Neighborhood Medical Center Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Safa Mohamed Mahgoub Osman, MD

  • Internal Medicine Physician
  • Richmond, VA
  • NPI 1215122825
  NPD
• Valerie A Mutchler-Fornili, M.D.

  • Family Medicine Physician
  • Richmond, VA
  • NPI 1578657284
  NPD
• Aaron Stecker

  • Family Medicine Physician
  • Richmond, VA
  • NPI 1457768939
  NPD

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1548520422",
    "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": "6550 HULL STREET RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232242636",
            "telephone_number": "305-653-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENCARE NEIGHBORHOOD MEDICAL HULL ST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "305-831-4722"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JenCare Neighborhood Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JenCare Neighborhood Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Ruth Jeffrey, NP
• Nicole Marie Jeffries, BCAT
• Jemina Counseling and Consulting PLLC
• Tripti B Jena, MD
• Jencare Neighborhood Medical East Richmond, LLC (JenCare Neighborhood MedicalEast Richmond)
• Jencare Neighborhood Medical Shockoe Bottom, LLC (JenCare Neighborhood Medical Shockoe Bottom)
• Jenel Morian, Pmhnp, LLC
• Jennifer Elaine Jenkins Boitnott, LPC, NCC
• Amber Marie Sholl Jenkins, D.O.
• Blake Jenkins, DPT

• Non-Pharmacy Dispensing Site in Richmond, VA
• Providers in Richmond, VA by specialty
• Non-Pharmacy Dispensing Site in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.