Organization Active NPI

Journeys Home Care LLC

  • Home Health Registered Nurse
  • Brooklyn Center, MN
National Provider Identifier
1184197253
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
JOURNEYS HOME CARE LLC
Practice address
5312 Queen Ave N
Brooklyn Center, MN 55430-2946
Phone
(612) 202-4007
Fax
(763) 425-4939
NPI assigned
Jan 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Authorized official

Name
Nwaemele Joseph Ndubisi
Title
Owner
Phone
(612) 202-4007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X Primary

Addresses

Primary practice location

5312 Queen Ave N
Brooklyn Center, MN 55430-2946

Mailing address

10157 Georgia Ave N
Brooklyn Park, MN 55445-2670
Phone (612) 202-4007

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2167022Journeys Home Care5312 Queen Ave North, Brooklyn Center, MN 55430Certificate of waiverMay 30, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1184197253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10157 GEORGIA AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452670",
            "telephone_number": "612-202-4007",
            "fax_number": "763-425-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5312 QUEEN AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302946",
            "telephone_number": "612-202-4007",
            "fax_number": "763-425-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEYS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "NDUBISI",
        "authorized_official_first_name": "NWAEMELE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-202-4007"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.