Organization Active NPI

Journeys Within, LLC

  • Custodial Care Facility
  • Great Falls, MT
National Provider Identifier
1568710879
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
C209442-1114283 Issued in MT
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0000309961MedicaidMT

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.