Provider Demographics
NPI:1245655877
Name:A NEW JOURNEY HEALTHCARE & SENIOR SERVICES
Entity type:Organization
Organization Name:A NEW JOURNEY HEALTHCARE & SENIOR SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERREE
Authorized Official - Middle Name:ATONIETTE
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:803-445-4907
Mailing Address - Street 1:7945 BURDELL DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29209-4701
Mailing Address - Country:US
Mailing Address - Phone:803-569-6073
Mailing Address - Fax:803-569-6072
Practice Address - Street 1:7945 BURDELL DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29209-4701
Practice Address - Country:US
Practice Address - Phone:803-305-1489
Practice Address - Fax:803-883-5266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-18
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20144760046592253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care