Joshua'S Journey,LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

JOSHUA'S JOURNEY,LLC

Practice address

1700 Highway 36 W
Suite #630
Roseville, MN 55113-4034

Phone

(612) 819-8903

NPI assigned

May 28, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Abdulkadir G Youb

Title

Executive Director

Phone

(612) 442-3848

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464393600000",
    "number": "1003264276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HIGHWAY 36 W",
            "address_2": "SUITE #630",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 HIGHWAY 36 W",
            "address_2": "SUITE #630",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134034",
            "telephone_number": "612-819-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA'S JOURNEY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-28",
        "last_updated": "2016-05-28",
        "status": "A",
        "authorized_official_last_name": "YOUB",
        "authorized_official_first_name": "ABDULKADIR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-442-3848",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Roseville, MN
• Providers in Roseville, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.