Organization Active NPI

Sojourn Wellness LLC

  • Substance Abuse Rehabilitation Facility
  • Quincy, FL
National Provider Identifier
1578243994
Registry record updated Nov 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SOJOURN WELLNESS LLC
Practice address
1125 Strong Rd
Quincy, FL 32351-8832
Phone
(850) 345-0859
NPI assigned
Jul 20, 2023
Last updated
Nov 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2024

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

Authorized official

Name
Chantel Lewis, RNNPI 1649866591
Title
Co-Founder
Phone
(850) 345-0859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1125 Strong Rd
Quincy, FL 32351-8832

Mailing address

1125 Strong Rd
Quincy, FL 32351-8832
Phone (850) 345-0859

National Provider Directory

National Provider Directory
Tax ID family
Sojourn Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732406400000",
    "number": "1578243994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 STRONG RD",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323518832",
            "telephone_number": "850-345-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 STRONG RD",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323518832",
            "telephone_number": "850-345-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOJOURN WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2024-11-24",
        "certification_date": "2024-11-24",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CHANTEL",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "850-345-0859",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2024; 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.