Your Journey Care Connection LLC

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

YOUR JOURNEY CARE CONNECTION LLC

Practice address

2205 Ferndale Ave
Petersburg, VA 23803-2739

Phone

(908) 887-8746

NPI assigned

Jan 16, 2025

Organization subpart

No

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

Authorized official

Name

Yahshee Garner

Title

Director

Phone

(804) 704-7928

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1093526303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 FERNDALE AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238032739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 FERNDALE AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238032739",
            "telephone_number": "908-887-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR JOURNEY CARE CONNECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "YAHSHEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "804-704-7928"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Licensed Practical Nurse in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Licensed Practical Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.