Provider Demographics
NPI:1487015624
Name:JOURNEYS COMMUNITY SERVICES INC
Entity Type:Organization
Organization Name:JOURNEYS COMMUNITY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:RONNIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MSW, LCSW
Authorized Official - Phone:702-236-4870
Mailing Address - Street 1:401 N BUFFALO DR
Mailing Address - Street 2:STE 202
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-0310
Mailing Address - Country:US
Mailing Address - Phone:702-527-7661
Mailing Address - Fax:
Practice Address - Street 1:401 N BUFFALO DR
Practice Address - Street 2:STE 202
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89145-0310
Practice Address - Country:US
Practice Address - Phone:702-527-7661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-16
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care