Organization Active NPI

Life Journey Care

  • Home Health Agency
  • Statesville, NC
National Provider Identifier
1477058899
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
IHCP-0819 Issued in SC
Legal business name
LIFE JOURNEY CARE
Practice address
898 River Hill Rd
Statesville, NC 28625-9112
Phone
(336) 255-0854
NPI assigned
Mar 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Authorized official

Name
Aisha Campbell
Title
Administrator
Phone
(336) 255-0854

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IHCP-0819 SC Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

898 River Hill Rd
Statesville, NC 28625-9112

Mailing address

898 River Hill Rd
Statesville, NC 28625-9112

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1477058899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 RIVER HILL RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286259112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "898 RIVER HILL RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286259112",
            "telephone_number": "336-255-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE JOURNEY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "AISHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-255-0854"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "IHCP-0819",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.