Provider Demographics
NPI:1619523719
Name:WISE JOURNEY LTD
Entity Type:Organization
Organization Name:WISE JOURNEY LTD
Other - Org Name:WISE JOURNEY HOME CARE AND LIVING ASSISTANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHELBY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-603-1646
Mailing Address - Street 1:115 E RANDOLPH RD STE C
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:23860-2726
Mailing Address - Country:US
Mailing Address - Phone:804-977-6799
Mailing Address - Fax:804-597-0178
Practice Address - Street 1:115 E RANDOLPH RD STE C
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-2726
Practice Address - Country:US
Practice Address - Phone:804-977-6799
Practice Address - Fax:804-597-0178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-14
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty