A New Journey LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

A NEW JOURNEY LLC

Practice address

312 Kilgo St
Clayton, NC 27520-1651

Phone

(919) 809-0852

Fax

(844) 246-5039

NPI assigned

Aug 13, 2022

Last updated

Aug 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ebony Nichole SandersNPI 1336750959

Title

Ceo

Phone

(919) 809-0852

Specialties & licenses 5

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ebony Nichole Sanders

  • Chore Provider
  • Clayton, NC
  • NPI 1336750959
  NPD Authorized official

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

{
    "created_epoch": "1660348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660348800000",
    "number": "1053049353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275280094",
            "telephone_number": "919-809-0852",
            "fax_number": "844-246-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 KILGO ST",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275201651",
            "telephone_number": "919-809-0852",
            "fax_number": "844-246-5039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Impressive Ln",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NC",
            "postal_code": "275204415",
            "country_code": "US",
            "telephone_number": "919-809-0852",
            "fax_number": "844-246-5039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Kilgo St",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NC",
            "postal_code": "275201651",
            "country_code": "US",
            "telephone_number": "919-809-0852",
            "fax_number": "844-246-5039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "744 Thorne Rd",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "NC",
            "postal_code": "275767802",
            "country_code": "US",
            "telephone_number": "919-809-0852",
            "fax_number": "844-246-5039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A NEW JOURNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-13",
        "last_updated": "2022-08-13",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "EBONY",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-809-0852"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Clayton, NC
• Providers in Clayton, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2022; 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.