Active NPI
Journeys Within, LLC
- Custodial Care Facility
- Great Falls, MT
National Provider Identifier
1568710879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- License
- C209442-1114283
- Legal business name
- JOURNEYS WITHIN, LLC
- Practice address
- 1422 20TH Ave S
Great Falls, MT 59404-6031 - Phone
- (406) 403-0830
- NPI assigned
- Aug 16, 2012
- Last updated
- Aug 16, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Virginia T Eadus
- Title
- Co-Owner
- Phone
- (406) 403-0830
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | C209442-1114283 | MT | Primary |
Addresses
Primary practice location
1422 20TH Ave S
Great Falls, MT 59404-6031
Mailing address
1422 20TH Ave S
Great Falls, MT 59405-6031
Phone (406) 403-0830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000309961 | Medicaid | MT |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345075200000",
"number": "1568710879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1422 20TH AVE S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594056031",
"telephone_number": "406-403-0830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1422 20TH AVE S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594046031",
"telephone_number": "406-403-0830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOURNEYS WITHIN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-16",
"last_updated": "2012-08-16",
"status": "A",
"authorized_official_last_name": "EADUS",
"authorized_official_first_name": "VIRGINIA",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "406-403-0830",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": "MT",
"license": "C209442-1114283",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000309961",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Great Falls, MT
- Joseph W. Vincent O.D. and Justine E. Redlin O.D. Vision Care P.C. (Treasure State Eyecare)
- Stephanie Antonia Joseph, PHARMD RPH
- William Joshu, PA-C
- Joseph James Joslyn, PA
- Journeys Counseling P-LLC
- Leeann S Jovick, RPH
- Jennifer Jovin
- Kalyn Joyce, DPT
- Shams Jubouri, M.D.
- Julia J Purvis Professional Corporation (Purvis Chiropractic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.