Provider Demographics
NPI:1548394729
Name:JOURNEYS RECOVERY SOLUTIONS
Entity Type:Organization
Organization Name:JOURNEYS RECOVERY SOLUTIONS
Other - Org Name:JOURNEYS RECOVERY SOLUTIONS
Other - Org Type:Other Name
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:SIGERSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN,MS,CCM
Authorized Official - Phone:402-898-4135
Mailing Address - Street 1:815 DORCAS ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68108-1137
Mailing Address - Country:US
Mailing Address - Phone:402-898-4135
Mailing Address - Fax:402-898-4139
Practice Address - Street 1:815 DORCAS ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68108-1137
Practice Address - Country:US
Practice Address - Phone:402-898-4135
Practice Address - Fax:402-898-4139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NESATC076251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025017700Medicaid
NE=========27Medicaid