Covered Entity Details

CHC26581-00 JEFFERSON PARISH HUMAN SERVICES AUTHORITY (Active) - information as of 5/7/2025 10:43:21 PM

Main Details

Name

JEFFERSON PARISH HUMAN SERVICES AUTHORITY

Subdivision Name

JeffCare East Jefferson

Type

HRSA-Funded Health Center

Site ID

BPS-H80-013171

340B ID

CHC26581-00

Grant Number

H80CS26581

Additional Details

Current Program Status

Active

Registration Date

4/8/2016

Participating Start Date

7/1/2016

Participating Approval Date

4/13/2016

Last Recertification Date

3/3/2025

Contacts

Authorizing Official

Jefferson Parish Human Services Authority
Rosanna DiChiro, Executive Director
(504) 235-1122

Primary Contact

Jefferson Parish Human Services Authority
Christy Dempster, CFO
(504) 838-5215 Ext: 248

Addresses

Street Address

3616 S I 10 Service Rd W
Metairie, LA 70001-1874

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
Contract Detail	GENOA HEALTHCARE LLC	3616 S I-10 SERVICE ROAD W		METAIRIE	LA	70001	07/01/2016	10/01/2016			04/05/2022
Contract Detail	GENOA HEALTHCARE LLC	5001 WEST BANK EXPRESSWAY		MARRERO	LA	70072	07/01/2016	10/01/2016			07/01/2016

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	Address Cont.	City	State
CHC26581-00	Active	BPS-H80-013171	JEFFERSON PARISH HUMAN SERVICES AUTHORITY	JeffCare East Jefferson	3616 S I 10 Service Rd W		Metairie	LA
CHC26581-01	Approved	BPS-H80-013083	JEFFERSON PAR HUMAN SERVICES AUTHORITY	JeffCare West Jefferson	5001 Westbank Expy		Marrero	LA

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	City	State	Zip Code	Begin Date	Termination Date
CHC26581-00	GENOA HEALTHCARE LLC	3616 S I-10 SERVICE ROAD W	METAIRIE	LA	70001	10/01/2016
CHC26581-00	GENOA HEALTHCARE LLC	5001 WEST BANK EXPRESSWAY	MARRERO	LA	70072	10/01/2016
CHC26581-01	GENOA HEALTHCARE LLC	5001 WEST BANK EXPRESSWAY	MARRERO	LA	70072	10/01/2016	04/01/2022
CHC26581-01	GENOA HEALTHCARE LLC	3616 S I-10 SERVICE ROAD W	METAIRIE	LA	70001	10/01/2016	04/01/2022

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/5/2024 4:49:32 PM	3/3/2025 3:56:28 PM	3/3/2025 3:56 PM
Contacts	Authorizing Official	Update	AO Change Request	Rodney, Staci Division Director JeffCare 5048385266-111	DiChiro, Rosanna Executive Director Jefferson Parish Human Services Authority 5042351122	3/3/2025 1:38 PM
Details	Last Recertification Date	Update	Recertification	2/1/2023 2:52:49 PM	2/5/2024 4:49:32 PM	2/5/2024 4:49 PM
Details	Last Recertification Date	Update	Recertification	2/22/2022 11:04:15 AM	2/1/2023 2:52:49 PM	2/1/2023 2:52 PM
Contacts	Authorizing Official	Update	Profile Change Request	Rodney, Staci Interim Division Director JeffCare 5048385266	Rodney, Staci Division Director JeffCare 5048385266-111	2/22/2022 11:26 AM
Details	Last Recertification Date	Update	Recertification	2/8/2021 7:15:26 AM	2/22/2022 11:04:15 AM	2/22/2022 11:04 AM
Contacts	Authorizing Official	Update	Change Request	Shaw, Julie CEO Jefferson Parish Human Services Authority 5048385306	Rodney, Staci Interim Division Director JeffCare 5048385266	1/4/2022 10:34 AM
Contacts	Primary Contact	Update	Change Request	Coogan, Brian Chief Financial Officer Jefferson Parish Human Services Authority 5048313858	Dempster, Christy CFO Jefferson Parish Human Services Authority 5048385215-248	6/7/2021 3:56 PM
Contacts	Primary Contact	Update	Recertification	Nicola, Mirela A Chief Financial Officer Jefferson Parish Human Services Authority 5048385710	Coogan, Brian Chief Financial Officer Jefferson Parish Human Services Authority 5048313858	2/8/2021 7:15 AM
Details	Last Recertification Date	Update	Recertification	2/20/2020 5:13:58 PM	2/8/2021 7:15:26 AM	2/8/2021 7:15 AM
Details	Last Recertification Date	Update	Recertification	2/21/2019 6:08:44 PM	2/20/2020 5:13:58 PM	2/20/2020 5:13 PM
Contacts	Primary Contact	Update	Recertification	Chauvin, Mitchel Accountant 3 Jefferson Parish Human Services Authority 5048383858	Nicola, Mirela A Chief Financial Officer Jefferson Parish Human Services Authority 5048385710	2/21/2019 6:08 PM
Details	Last Recertification Date	Update	Recertification	2/7/2018 10:18:56 AM	2/21/2019 6:08:44 PM	2/21/2019 6:08 PM
Contacts	Primary Contact	Update	Recertification	Shaw, Julie CEO Jefferson Parish Human Services Authority 5048385306	Chauvin, Mitchel Accountant 3 Jefferson Parish Human Services Authority 5048383858	2/7/2018 10:18 AM
Details	Last Recertification Date	Update	Recertification	2/3/2017 12:00:00 AM	2/7/2018 10:18:56 AM	2/7/2018 10:18 AM
Details	Is Authorizing Official EHB Data	Update	Recertification	False		2/7/2018 10:18 AM
Contacts	Authorizing Official	Update		Shaw, Julie CEO 5048385306	Shaw, Julie CEO Jefferson Parish Human Services Authority 5048385306	11/17/2017 1:17 PM
Contacts	Primary Contact	Update		Shaw, Julie CEO 5048385306	Shaw, Julie CEO Jefferson Parish Human Services Authority 5048385306	11/17/2017 1:17 PM
Contacts	Signed By	Update		Shaw, Julie CEO 5048385306	Shaw, Julie CEO Jefferson Parish Human Services Authority 5048385306	11/17/2017 1:17 PM
Addresses	Main Address	Insert			3616 S I 10 Service Rd W Metairie, LA 70001-1874	2/3/2017 1:54 PM
Contacts	Authorizing Official	Insert			Shaw, Julie CEO 5048385306	2/3/2017 1:54 PM
Contacts	Primary Contact	Insert			Shaw, Julie CEO 5048385306	2/3/2017 1:54 PM
Contacts	Signed By	Insert			Shaw, Julie CEO 5048385306	2/3/2017 1:54 PM
Details	Last Recertification Date	Update			2/3/2017 12:00:00 AM	2/3/2017 1:54 PM
Details	340B ID	Update		CHC26581-01	CHC26581-00	4/13/2016 3:30 PM
Dates	Participating Approval Date	Update			4/13/2016 12:00:00 AM	4/13/2016 3:30 PM
Details	State	Update		Pending	Active	4/13/2016 3:30 PM
Dates	Start Date	Update			7/1/2016 12:00:00 AM	4/13/2016 3:30 PM
Details	340B ID	Update		ONLINE_REG_59390	CHC26581-01	4/12/2016 7:46 AM
Details	340B ID	Update		ONLINE_REG	ONLINE_REG_59390	4/8/2016 3:42 PM
Details	Last Recertification Date	Insert				4/8/2016 3:42 PM
Details	Grant Number	Insert			H80CS26581	4/8/2016 3:42 PM
Details	340B ID	Insert			ONLINE_REG	4/8/2016 3:42 PM
Details	Is Authorizing Official EHB Data	Insert			False	4/8/2016 3:42 PM
Dates	Last Date That 340B Drugs Purchased	Insert				4/8/2016 3:42 PM
Details	Medicare Provider Number	Insert				4/8/2016 3:42 PM
Details	Entity Name	Insert			JEFFERSON PARISH HUMAN SERVICES AUTHORITY	4/8/2016 3:42 PM
Details	Program Code	Insert			CH	4/8/2016 3:42 PM
Details	Entity Subname	Insert			JeffCare East Jefferson	4/8/2016 3:42 PM
Dates	Participating Approval Date	Insert				4/8/2016 3:42 PM
Details	State	Insert			Pending	4/8/2016 3:42 PM
Dates	Registration Date	Insert			4/8/2016 12:00:00 AM	4/8/2016 3:42 PM
Dates	Signed By Date	Insert			4/8/2016 12:00:00 AM	4/8/2016 3:42 PM
Dates	Start Date	Insert				4/8/2016 3:42 PM
Terminations	Termination Comments	Insert				4/8/2016 3:42 PM
Terminations	Termination Date	Insert				4/8/2016 3:42 PM
Terminations	Termination Effective Date	Insert				4/8/2016 3:42 PM
Terminations	Termination Reason	Insert				4/8/2016 3:42 PM

340B Drug Pricing Program Database