Provider Demographics
NPI:1225349848
Name:JOURNEYS OF EVOLUTION
Entity Type:Organization
Organization Name:JOURNEYS OF EVOLUTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NIKKI
Authorized Official - Middle Name:M
Authorized Official - Last Name:LECOMPTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-449-4215
Mailing Address - Street 1:PO BOX 2244
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-9244
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6630 LAUGHLIN DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-3530
Practice Address - Country:US
Practice Address - Phone:713-449-4215
Practice Address - Fax:281-741-7689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-29
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home