NPIMap

Organization Active NPI

Jeffcare

Doing business as JeffCare West Jefferson

  • Federally Qualified Health Center (FQHC)
  • Marrero, LA
National Provider Identifier
1992359772
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
JEFFCARE
Doing business as
JeffCare West Jefferson
Practice address
5001 West Bank Expressway
Marrero, LA 70072-2954
Phone
(504) 846-6983
Fax
(504) 838-5714
NPI assigned
Jul 30, 2019
Last updated
Jul 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Authorized official

Name
Julie M ShawNPI 1255347167
Title
Division Director Jeffcare
Phone
(504) 846-6983

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

5001 West Bank Expressway
Marrero, LA 70072-2954

Mailing address

3616 S I-10 Service Road W.
Metairie, LA 70001-1874
Phone (504) 846-6983

Other names 1

  • JeffCare West Jefferson 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
19D2056899Jeffcare5001 West Bank Expressway Suite 100, Marrero, LA 70072Certificate of waiverApr 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Jeffcare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

  • Jeffcare

    dba JeffCare West Jefferson

    • Federally Qualified Health Center (FQHC)
    • Marrero, LA
    • NPI 1154747327
    NPD tax ID
  • Jeffcare

    dba JeffCare East Jefferson

    • Federally Qualified Health Center (FQHC)
    • Metairie, LA
    • NPI 1518383785
    NPD tax ID

Locations

5001 Westbank Expy
Marrero, LA 70072
Phone (504) 349-8708

Practitioners & affiliated clinicians

Practitioners 1

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": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1992359772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 S I-10 SERVICE ROAD W.",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011874",
            "telephone_number": "504-846-6983",
            "fax_number": "504-838-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 WEST BANK EXPRESSWAY",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722954",
            "telephone_number": "504-846-6983",
            "fax_number": "504-838-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIVISION DIRECTOR JEFFCARE",
        "authorized_official_telephone_number": "504-846-6983"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JeffCare West Jefferson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.