Provider Demographics
NPI:1932966702
Name:A GENEROUS JOURNEY LLC
Entity Type:Organization
Organization Name:A GENEROUS JOURNEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TONI
Authorized Official - Middle Name:AURORA
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:708-299-8250
Mailing Address - Street 1:1646 N EAST DR APT C
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60505-3205
Mailing Address - Country:US
Mailing Address - Phone:630-962-8633
Mailing Address - Fax:
Practice Address - Street 1:1646 N EAST DR
Practice Address - Street 2:APT C
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60505-3205
Practice Address - Country:US
Practice Address - Phone:708-299-8250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-28
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No251G00000XAgenciesHospice Care, Community Based
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care