Jeremiah'S Journey

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JEREMIAH'S JOURNEY

Practice address

206 Austin Ave
D
Columbia, MO 65203-4066

Phone

(573) 864-9697

NPI assigned

Nov 26, 2012

Organization subpart

Yes

Parent organization

C.I.M CHRIST IN MOTION/COLUMBIAAs reported in NPPES

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

Authorized official

Name

Raco Ann Marie Gates

Title

Owner

Phone

(573) 864-9697

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• C.I.M Christ In Motion/Columbia Other name

Locations

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1174867592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 AUSTIN AVE",
            "address_2": "D",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034066",
            "telephone_number": "573-864-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 AUSTIN AVE",
            "address_2": "D",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034066",
            "telephone_number": "573-864-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMIAH'S JOURNEY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "C.I.M CHRIST IN MOTION/COLUMBIA",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "RACO",
        "authorized_official_middle_name": "ANN MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-864-9697"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21333238",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C.I.M Christ In Motion/Columbia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebecca Jennings, RDN
• Taylor Ray Jennings, FNP
• Abigail Jensen
• Margaret Ann Jensen, DPT
• Tanner Roy Jeppesen, D.O.
• Jada Lea Jesse, LPC
• Madeline Jessen, LCSW
• Kelsey Jett, PHARMD, BCPS
• Hyeyoung Erin Jeun, M.D.
• Ishani Jhamb, MD

• Home Health Agency in Columbia, MO
• Providers in Columbia, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.