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JENCARE SENIOR MEDICAL CENTER DOLTON
NPI 1013520113
Non-Pharmacy Dispensing Site in Dolton, IL

Active since August 28, 2020CLIA 14D2213204 · Waiver
600 E SIBLEY BLVD, DOLTON, IL 60419(708) 340-7400 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2024, Aug 28, 2020 (2 updates tracked since 2020).

About Jencare Senior Medical Center Dolton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENCARE SENIOR MEDICAL CENTER DOLTON (NPI 1013520113) is a healthcare organization registered as a non-pharmacy dispensing site in Dolton, Illinois and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through February 9, 2027 and lists Mary Chen, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1013520113
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NamePMR ILLINOIS HOLDING, LLC
Location Address600 E SIBLEY BLVDDolton, IL 60419-2599
Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (305) 628-6117
Phone(708) 340-7400
Organization SubpartYes
Authorized OfficialMary ChenAuthorized Official · (305) 831-4722
Enumeration DateAugust 28, 2020
Last NPPES UpdateOctober 31, 20242 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
✔ NPI 1013520113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
600 E SIBLEY BLVD, Dolton, IL 60419
Open in Google Maps ↗

Other Names 1

Doing Business AsJencare Senior Medical Center Dolton

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2213204

Jencare Senior Medical Center-Dolton · Dolton, IL
Active · expires Feb 9, 2027
CLIA Number14D2213204
Laboratory TypePhysician Office
Certificate Effective DateFebruary 10, 2025
Certificate Expiration DateFebruary 9, 2027
Laboratory DirectorGordon Chen
Laboratory Phone(305) 842-3910
Laboratory LocationJencare Senior Medical Center-Dolton600-618 East Sibley Blvd, Dolton, IL 60419
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AREEJ RAHMAN
Internal Medicine
600 E SIBLEY BLVD
DOLTON, IL 60419
Cook County (708) 340-7400
FNU AYESHA MD
Internal Medicine
600 E SIBLEY BLVD
DOLTON, IL 60419
Cook County (708) 340-7400
ANDREA N SLASURAITIS MD
Internal Medicine
600 E SIBLEY BLVD
DOLTON, IL 60419
Cook County (708) 340-7400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pmr Illinois Holding, LLC's NPI number?

The NPI number for Pmr Illinois Holding, LLC is 1013520113. It was assigned to this organization in the NPPES registry on August 28, 2020. The provider is doing business as Jencare Senior Medical Center Dolton.

Where is Pmr Illinois Holding, LLC located?

Pmr Illinois Holding, LLC is located at 600 E Sibley Blvd, Dolton, IL 60419. The listed phone number is (708) 340-7400.

What is Pmr Illinois Holding, LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Pmr Illinois Holding, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2213204) is associated with this NPI, valid through February 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pmr Illinois Holding, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 22 other insurers list Pmr Illinois Holding, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pmr Illinois Holding, LLC was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.