Organization Active NPI

Life'S Journey Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Palm Springs, CA
National Provider Identifier
1043474463
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
330040AP Issued in CA
Legal business name
LIFE'S JOURNEY CENTER, INC.
Practice address
291 E Camino Monte Vis
Palm Springs, CA 92262-4710
Phone
(760) 864-6363
Fax
(760) 864-6360
NPI assigned
Jul 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Dr. Rose Tijerina Swearingen, PH.D.
Title
Executive Director
Phone
(760) 864-6363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 330040AP CA Primary

Addresses

Primary practice location

291 E Camino Monte Vis
Palm Springs, CA 92262-4710

Mailing address

291 E Camino Monte Vis
Palm Springs, CA 92262-4710
Phone (760) 864-6363

Other identifiers 1

IdentifierTypeStateIssuer
330040APOtherCASTATE OF CALIFORNIA LICENSE & CERTIFICATION

National Provider Directory

National Provider Directory

Locations

291 E Camino Monte Vista
Palm Springs, CA 92262
Phone (760) 864-6363

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1043474463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 E CAMINO MONTE VIS",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624710",
            "telephone_number": "760-864-6363",
            "fax_number": "760-864-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 E CAMINO MONTE VIS",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624710",
            "telephone_number": "760-864-6363",
            "fax_number": "760-864-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE'S JOURNEY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "SWEARINGEN",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "TIJERINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "760-864-6363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "330040AP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA LICENSE & CERTIFICATION",
            "identifier": "330040AP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.