JENCARE NEIGHBORHOOD MEDICAL CENTER
NPI 1194085852
Specialist in New Orleans, LA

Active since May 29, 2012CLIA 14D2054166 · Waiver
4710 SOUTH CARROLLTON AVENUE, NEW ORLEANS, LA 70119(504) 454-9020(504) 910-9371 Get Directions Write a Review

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

About Jencare Neighborhood Medical Center NPPES

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

JENCARE NEIGHBORHOOD MEDICAL CENTER (NPI 1194085852) is a healthcare organization registered as a specialist in New Orleans, Louisiana and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through February 14, 2027 and lists Mary Chen, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1194085852
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJENCARE NEIGHBORHOOD MEDICAL CENTER MIDCITY, LLC
Location Address4710 SOUTH CARROLLTON AVENUENew Orleans, LA 70119-2103
Mailing Address1395 Nw 167th StreetMiami Gardens, FL 33169 · (305) 628-6117 · Fax (305) 650-0674
Fax(504) 910-9371
Organization SubpartNo
Authorized OfficialMary ChenAuthorized Official · (305) 831-4722
Enumeration DateMay 29, 2012
Last NPPES UpdateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
NPI 1194085852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
4710 SOUTH CARROLLTON AVENUE, New Orleans, LA 70119

Other Names 1

Doing Business AsJencare Neighborhood Medical Center

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

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 14D2054166

Jencare Neighborhood Med Ctr Evergreen Park LLC · Chicago, IL
Active · expires Feb 14, 2027
CLIA Number14D2054166
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2025
Certificate Expiration DateFebruary 14, 2027
Laboratory DirectorGordon L. Chen
Laboratory Phone(305) 628-6117
Laboratory LocationJencare Neighborhood Med Ctr Evergreen Park LLC2734 W 87th St, Chicago, IL 60652
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Center Midcity, LLC's NPI number?

The NPI number for Jencare Neighborhood Medical Center Midcity, LLC is 1194085852. It was assigned to this organization in the NPPES registry on May 29, 2012. The provider is doing business as Jencare Neighborhood Medical Center.

Where is Jencare Neighborhood Medical Center Midcity, LLC located?

Jencare Neighborhood Medical Center Midcity, LLC is located at 4710 South Carrollton Avenue, New Orleans, LA 70119. The listed phone number is (504) 454-9020.

What is Jencare Neighborhood Medical Center Midcity, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Jencare Neighborhood Medical Center Midcity, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2054166) is associated with this NPI, valid through February 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jencare Neighborhood Medical Center Midcity, 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.