Provider Demographics
NPI:1396215166
Name:HEALTHY JOURNEY TRANSPORTATION LLC
Entity Type:Organization
Organization Name:HEALTHY JOURNEY TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAKISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-745-0229
Mailing Address - Street 1:1641 S LOMBARD AVE
Mailing Address - Street 2:
Mailing Address - City:CICERO
Mailing Address - State:IL
Mailing Address - Zip Code:60804-1631
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:708-575-7499
Practice Address - Street 1:1641 S LOMBARD AVE
Practice Address - Street 2:
Practice Address - City:CICERO
Practice Address - State:IL
Practice Address - Zip Code:60804-1631
Practice Address - Country:US
Practice Address - Phone:708-745-0229
Practice Address - Fax:708-575-7499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-04
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)