Provider Demographics
NPI:1669006417
Name:JOURNEYS HOMECARE AGENCY LLC
Entity Type:Organization
Organization Name:JOURNEYS HOMECARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:SIMONE
Authorized Official - Middle Name:M
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-874-1899
Mailing Address - Street 1:2000 MEREDITH DR APT 2405
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-5450
Mailing Address - Country:US
Mailing Address - Phone:412-874-1899
Mailing Address - Fax:
Practice Address - Street 1:2000 MEREDITH DR APT 2405
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-5450
Practice Address - Country:US
Practice Address - Phone:412-874-1899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-01
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health