JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC (NPI# 1891052254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891052254 |
| Entity Type | Organization |
| Organization Name | JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC |
| Other Organization Name | WEST JEFFERSON SBHC |
| Practice Address |
2200 8th St Harvey LA 70058-4006 |
| Mailing Address |
Po Box 2490 Marrero LA 70073-2490 |
| Practice Telephone | 5043674407 |
| Mailing Telephone | 5047628900 |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |
| Authorized Official Name | DR. CYROUS ARDALAN (INTERIN CEO) |
| Authorized Official Telephone | 5047628900 |
| Authorized Official Credential | DDS |
| 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 |
|---|---|
| West Jefferson SBHC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265883904 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 7017 Lapalco Blvd, Marrero, LA 70072 | 2016-06-23 |
| 1407139074 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 300 4th St, Bridge City, LA 70094-3320 | 2011-09-21 |
| 1811123664 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 1855 Ames Blvd Ste B, Marrero, LA 70072-3429 | 2009-06-08 |
| 1558419275 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 4028 U S Highway 90, Avondale, LA 70094 | 2007-01-08 |
| 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 |
| 1528483849 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 5140 Church St, Lafitte, LA 70067-5256 | 2014-02-24 |
| 1467792713 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 5140 Church St, Lafitte, LA 70067-5256 | 2013-02-25 |
| 1306103825 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 240 Riverdale Dr, New Orleans, LA 70121-3507 | 2012-04-20 |
| 1447517032 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 4300 Patriot St, Marrero, LA 70072-4305 | 2012-04-19 |
| Street Address |
2200 8TH ST |
| City | HARVEY |
| State | LA |
| Zip Code | 70058-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174717375 | Elizabeth Voss Jackel | Nurse Practitioner | 2200 8th St, Harvey, LA 70058-4006 | 2007-08-30 |
| 1477805869 | Access Health Louisiana | Clinic/Center | 2200 8th St, Harvey, LA 70058-4006 | 2012-10-09 |
| 1972884054 | Susan Berger Glapion | Social Worker | 2200 8th St, Harvey, LA 70058-4006 | 2011-09-02 |
| 1366626574 | West Jefferson School Based Health Center | Clinic/Center | 2200 8th St, Harvey, LA 70058-4006 | 2007-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144853003 | Carmen Nikita Ward-lewis | Counselor | 1901 Manhattan Blvd, Building D, Suite 104, Harvey, LA 70058 | 2020-02-19 |
| 1275023087 | Michael Ellis | Counselor | 3820 Melissa Dr, Harvey, LA 70058 | 2018-05-16 |
| 1316436447 | Affiliated Heart2heart Homecare Services, Inc. | In Home Supportive Care | 1901 Westbank Expy Ste 600, Harvey, LA 70058 | 2018-05-03 |
| 1720595804 | Alkeisha Lachelle Clark | Counselor | 4209 L Ac Couture Dr., D, Harvey, LA 70058 | 2018-01-10 |
| 1659888253 | Kevin A Velasquez | Psychologist | 81 Lake Lynn Dr, Harvey, LA 70058 | 2018-01-04 |
| 1629582937 | Tessie Hart | Counselor | 426 Manhattan Blvd., Harvey, LA 70058 | 2017-11-22 |
| 1326557562 | Lauretta Anne Gavin | Counselor | 2439 Manhattan Blvd., Suite 207, Harvey, LA 70058 | 2017-09-20 |
| 1760908792 | Eboni Dillon | Counselor | 3148 Keith Way Dr, Harvey, LA 70058 | 2017-08-22 |
| 1194246207 | Shawn Galmore | Counselor | 2808 Keithway Dr, Harvey, LA 70058 | 2017-06-28 |
| 1750811345 | Elite Learning Academy | Private Vehicle | 1913 Sugarloaf Drive, Harvey, LA 70058 | 2017-06-15 |
| Find all providers in zip 70058 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 1184764730 | Aunt Marthas Youth Service Center Inc | Clinic/Center | 159 E 154th St, Harvey, IL 60426-3325 | 2007-02-06 |
| 1619427655 | Aunt Martha's Youth Service Center, Inc. | Clinic/Center | 15420 Dixie Hwy, Harvey, IL 60426-3478 | 2016-10-13 |
| 1477805869 | Access Health Louisiana | Clinic/Center | 2200 8th St, Harvey, LA 70058-4006 | 2012-10-09 |
| 1750642856 | Family Christian Health Center | Clinic/Center | 31 W 155th St, Harvey, IL 60426-3556 | 2012-06-05 |
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| 1013522879 | Marillac Community Health Centers | Clinic/Center | 1423 Saint Philip St, New Orleans, LA 70116-2933 | 2020-09-09 |
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| Find all providers with the same taxonomy | ||||
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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.