Organization Active NPI

Joleathas Journey, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Oak City, NC
National Provider Identifier
1366230435
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
JOLEATHAS JOURNEY, LLC
Practice address
107 W 4TH St
Oak City, NC 27857-7700
Phone
(252) 217-2598
NPI assigned
Apr 29, 2025
Last updated
Apr 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Xavier T Jones
Title
Owner
Phone
(252) 217-2598

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

107 W 4TH St
Oak City, NC 27857-7700

Mailing address

4259 Dudleys Grant Dr Apt a
Winterville, NC 28590-7991
Phone (252) 217-2598

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1366230435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4259 DUDLEYS GRANT DR APT A",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285907991",
            "telephone_number": "252-217-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W 4TH ST",
            "city": "OAK CITY",
            "state": "NC",
            "postal_code": "278577700",
            "telephone_number": "252-217-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLEATHAS JOURNEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "XAVIER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-217-2598"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.