PMR LA HOLDING LLC NPI 1700333689

NPI Information

  • NPI: 1700333689
  • Provider Name: PMR LA HOLDING, LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: JENCARE SENIOR MEDICAL CENTER
  • CLIA Number: 19D2133959
  • Address: 1395 NW 167TH ST
    MIAMI GARDENS, FL
    ZIP 33169
  • Phone: (305) 628-6117

Map and Directions

Get Directions

NPI Details

PMR LA HOLDING, LLC is a specialist in Miami Gardens, FL. The provider is 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. PMR LA HOLDING, LLC NPI is 1700333689. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Jencare Senior Medical Center.

The provider's business location address is:

1395 NW 167TH ST
MIAMI GARDENS, FL
ZIP 33169-710
Phone: (305) 628-6117

The provider's authorized official is Mary Chen .
The authorized official title is Authorized Official and has the following contact phone number (305) 831-4722.

The CLIA number assigned to this NPI record is 19D2133959 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2016 and was last updated on 10/31/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes
2332900000XNon-Pharmacy Dispensing SiteNo
3333600000XPharmacyPHY.007546-IRLOUISIANANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI