JENCARE NEIGHBORHOOD MEDICAL SOUTH PARK LLC
NPI 1134489214
Non-Pharmacy Dispensing Site in Colonial Heights, VA

Active since May 22, 2012CLIA Certified · 7 labs
524 SOUTHPARK BLVD, COLONIAL HEIGHTS, VA 23834(305) 653-1770 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 20, 2025, Jul 19, 2024, Jun 16, 2023 (3 updates tracked since 2023).

About Jencare Neighborhood Medical South Park Llc NPPES

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

JENCARE NEIGHBORHOOD MEDICAL SOUTH PARK LLC (NPI 1134489214), doing business as Jencare Neighborhood Medical Centers, is a healthcare organization registered as a non-pharmacy dispensing site in Colonial Heights, Virginia and active in the NPI registry since May 2012. The organization holds 7 active CLIA laboratory certificates and lists Mary Chen, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1134489214
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameJENCARE NEIGHBORHOOD MEDICAL SOUTH PARK LLC
Location Address524 SOUTHPARK BLVDColonial Heights, VA 23834-3609
Mailing Address1395 Nw 167th StMiami, FL 33169-5710 · (305) 628-6117
Organization SubpartNo
Authorized OfficialMary ChenAuthorized Official · (305) 831-4722
Enumeration DateMay 22, 2012
Last NPPES UpdateFebruary 20, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
NPI 1134489214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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.)

Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
524 SOUTHPARK BLVD, Colonial Heights, VA 23834

Other Names 1

Doing Business AsJencare Neighborhood Medical Centers

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 9

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 18D2042854

Jencare Neighborhood Medical · Louisville, KY
Active · expires Jun 20, 2028
CLIA Number18D2042854
Laboratory TypePhysician Office
Certificate Effective DateJune 21, 2026
Certificate Expiration DateJune 20, 2028
Laboratory DirectorGordon L. Chen
Laboratory Phone(305) 653-1770
Laboratory LocationJencare Neighborhood Medical2406 West Broadway, Louisville, KY 40211
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2042855

Jencare Neighborhood Medical · Louisville, KY
Active · expires Jun 20, 2028
CLIA Number18D2042855
Laboratory TypePhysician Office
Certificate Effective DateJune 21, 2026
Certificate Expiration DateJune 20, 2028
Laboratory DirectorGordon L. Chen
Laboratory Phone(305) 653-1770
Laboratory LocationJencare Neighborhood Medical8019 Dixie Highway, Suite 101, Louisville, KY 40258
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2050839

Jencare Neighborhood Medical · Louisville, KY
Active · expires Dec 6, 2026
CLIA Number18D2050839
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2024
Certificate Expiration DateDecember 6, 2026
Laboratory DirectorGordon L. Chen
Laboratory Phone(305) 653-1770
Laboratory LocationJencare Neighborhood Medical1918 Hikes Lane, Louisville, KY 40218
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 19D2047365

Jencare Neighborhood Medical · New Orleans, LA
Active · expires Sep 20, 2026
CLIA Number19D2047365
Laboratory TypePhysician Office
Certificate Effective DateSeptember 21, 2024
Certificate Expiration DateSeptember 20, 2026
Laboratory DirectorGordon L. Chen
Laboratory Phone(305) 653-1770
Laboratory LocationJencare Neighborhood Medical4710 South Carrollton Avenue, New Orleans, LA 70117
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 19D2045239

Jencare Neighborhood Medical · Kenner, LA
Active · expires Aug 8, 2026
CLIA Number19D2045239
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2024
Certificate Expiration DateAugust 8, 2026
Laboratory DirectorGordon L. Chen
Laboratory Phone(305) 653-1770
Laboratory LocationJencare Neighborhood Medical1918 Williams Boulevard, Kenner, LA 70062
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 19D2045242

Jencare Neighborhood Medical · Gretna, LA
Active · expires Aug 8, 2026
CLIA Number19D2045242
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2024
Certificate Expiration DateAugust 8, 2026
Laboratory DirectorGordon L. Chen
Laboratory Phone(305) 653-1770
Laboratory LocationJencare Neighborhood Medical501 Lapalco Boulevard, Gretna, LA 70056
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

Acupuncturist
524 SOUTHPARK BLVD, JENCARE NEIGHBORHOOD MEDICAL SOUTH PARK, LLC
COLONIAL HEIGHTS, VA 23834
Podiatrist
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Family Medicine
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Internal Medicine (Cardiovascular Disease)
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Family Medicine
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Family Medicine
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Nurse Practitioner (Family)
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Nurse Practitioner (Adult Health)
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834

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 Jencare Neighborhood Medical South Park LLC's NPI number?

The NPI number for Jencare Neighborhood Medical South Park LLC is 1134489214. It was assigned to this organization in the NPPES registry on May 22, 2012. The provider is doing business as JenCare Neighborhood Medical Centers.

Where is Jencare Neighborhood Medical South Park LLC located?

Jencare Neighborhood Medical South Park LLC is located at 524 Southpark Blvd, Colonial Heights, VA 23834. The listed phone number is (305) 653-1770.

What is Jencare Neighborhood Medical South Park LLC's specialty?

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

Does Jencare Neighborhood Medical South Park LLC hold CLIA laboratory certificates?

Yes. 7 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Jencare Neighborhood Medical South Park LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 31 other insurers list Jencare Neighborhood Medical South Park 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 Jencare Neighborhood Medical South Park LLC was last updated on February 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.