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Contact Information

JEFFCARE
3616 S I 10 SERVICE RD W
SUITE 100
METAIRIE, LA70001-1874
 Phone: 504-838-5257
 Fax: 504-838-5714
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for JEFFCARE

NPI Number 1518383785
LBN Legal business name JEFFCARE
Authorized official ROSANNA DICHIRO DERBES - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/12/2014
Last updated 02/15/2022 - About 4 years ago
Identifiers
LA Medicaid 2369105
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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