Provider Demographics
NPI:1649010315
Name:JOURNEYS STAFFING HOME CARE SERVICE LLC
Entity type:Organization
Organization Name:JOURNEYS STAFFING HOME CARE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:HHA/NURSING AST
Authorized Official - Phone:954-305-7861
Mailing Address - Street 1:580 COLLINGS ST SE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32909-4849
Mailing Address - Country:US
Mailing Address - Phone:954-305-7861
Mailing Address - Fax:
Practice Address - Street 1:580 COLLINGS ST SE
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32909-4849
Practice Address - Country:US
Practice Address - Phone:954-305-7861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOURNEYS STAFFING HOME CARE SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health