Jeffcare East Jefferson
LBN: Jeffcare
Jeffcare East Jefferson is an health care organization with primary practice located at 3616 S I 10 Service Rd W Suite 100, Metairie LA 70001-1874. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Jeffcare can be contacted via phone (504) 838-5257, or through Dichiro Derbes, Rosanna via phone (504) 838-5215.
Contact Information
Primary practice address
3616 S I 10 Service Rd W Suite 100
Metairie LA 70001-1874
Phone: (504) 838-5257
Fax: (504) 838-5714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1518383785 |
|---|---|
| LBN Legal business name | Jeffcare |
| DBA Doing business as | Jeffcare East Jefferson |
| Authorized official | Dichiro Derbes, Rosanna PSY.D |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 12th, 2014 |
| Last updated | Feb 15th, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518383785 | NPPES |
| Louisiana | MEDICAID | 2369105 |
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