Jencare Neighborhood Medical Center West Broadway, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

JENCARE NEIGHBORHOOD MEDICAL CENTER WEST BROADWAY, LLC

Practice address

2406 W Broadway
Louisville, KY 40211-1008

Phone

(305) 653-1770

NPI assigned

May 25, 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

Exective VP

Phone

(305) 831-4722

Specialties & licenses 2

Addresses

Other names 1

• JenCare Neighborhood Medical Center Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1740540525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-621-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 W BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402111008",
            "telephone_number": "305-653-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENCARE NEIGHBORHOOD MEDICAL CENTER WEST BROADWAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECTIVE VP",
        "authorized_official_telephone_number": "305-831-4722"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JenCare Neighborhood Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Wise Jeffries, PA-C
• Dusan Mark Jeftinija, PHARM.D., PH.D.
• Tarun K Jella, MD
• Jamie Jemtrud
• Jencare Neighborhood Medical Center Newburg, LLC
• Jencare Neighborhood Medical Valley Station, LLC
• Jesse Jenkins, M.D.
• Josephine Therese Jenkins, PTA
• Karen S Jenkins, ARNP
• Kelly Anne Jenkins, MD

• Specialist in Louisville, KY
• Providers in Louisville, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.