NPIMap

Organization Active NPI

Journeys Hospice, Inc

  • Community Based Hospice Care Agency
  • Nampa, ID
National Provider Identifier
1154428944
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
JOURNEYS HOSPICE, INC
Practice address
223 E Amity Ave
Nampa, ID 83686-5707
Phone
(208) 461-3035
Fax
(208) 466-0693
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Mrs. Anne Henderson, RN
Title
President
Phone
(208) 870-4691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

223 E Amity Ave
Nampa, ID 83686-5707

Mailing address

223 E Amity Ave
Nampa, ID 83686-5707
Phone (208) 461-3035

Other identifiers 1

IdentifierTypeStateIssuer
000010060787OtherIDREGENCY BLUE SHIELD OF ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061108000485 ID Part A Provider - Hospice 5799782520 Practice locations: Nampa, ID

Hospice certification: CCN 131555

Legal name
JOURNEYS HOSPICE, INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 6, 2007
Last certification
Nov 10, 2020
Ownership / control type
Proprietary - Individual
Organization structure
CorporationProprietary
Incorporated
Sep 22, 2006 in ID
Enrollment address
223E Amity Ave
Nampa, ID 83686-5707

Care Compare: Hospice

Medicare Care Compare
Listed as
Journeys HospiceCCN 131555
Ownership
For-Profit
Certified
Feb 6, 2007
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

223 E Amity Ave
Nampa, ID 83686
Phone (208) 353-4285

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jessica Velasquez Individual 5% Or Greater Direct Ownership InterestAdministrator/Owner Oct 27, 2006 100%
Corporate OfficerPresident Oct 27, 2006 100%
Dean Hummer Individual W-2 Managing EmployeeController May 1, 2008 49%
Steven J Koga Individual Contracted Managing EmployeeMD; Apr 1, 2020 5%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1154428944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 E AMITY AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865707",
            "telephone_number": "208-461-3035",
            "fax_number": "208-466-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E AMITY AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865707",
            "telephone_number": "208-461-3035",
            "fax_number": "208-466-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEYS HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-870-4691",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCY BLUE SHIELD OF ID",
            "identifier": "000010060787",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.