Organization Active NPI

Journeys of Hope Youth Services, Inc.

  • Case Management Agency
  • Dayton, OH
National Provider Identifier
1235869348
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
JOURNEYS OF HOPE YOUTH SERVICES, INC.
Practice address
4416 Rosemary Ave
Dayton, OH 45405-5243
Phone
(937) 672-8092
NPI assigned
Jun 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Authorized official

Name
Devonna A Wood
Title
Owner/House Manager
Phone
(937) 672-8092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

4416 Rosemary Ave
Dayton, OH 45405-5243

Mailing address

4416 Rosemary Ave
Dayton, OH 45405-5243
Phone (937) 672-8092

Other identifiers 1

IdentifierTypeStateIssuer
1861971178MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1235869348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4416 ROSEMARY AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454055243",
            "telephone_number": "937-672-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4416 ROSEMARY AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454055243",
            "telephone_number": "937-672-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEYS OF HOPE YOUTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "DEVONNA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/HOUSE MANAGER",
        "authorized_official_telephone_number": "937-672-8092"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861971178",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

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