The Journey Brain Injury Community Services

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

THE JOURNEY BRAIN INJURY COMMUNITY SERVICES

Practice address

9423 W 64TH Ave
Arvada, CO 80004-5237

Phone

(720) 557-9337

Fax

(866) 941-5820

NPI assigned

Jun 28, 2016

Organization subpart

No

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

Authorized official

Name

Nicole S, RN

Title

Owner/Operator

Phone

(720) 628-9092

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Journey BICS Doing business as

Locations

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1629429956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 US HIGHWAY 287",
            "address_2": "SUITE 400-298",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207080",
            "telephone_number": "720-628-9092",
            "fax_number": "866-941-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9423 W 64TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800045237",
            "telephone_number": "720-557-9337",
            "fax_number": "866-941-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JOURNEY BRAIN INJURY COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "S",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "720-628-9092",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85506371",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Journey BICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Day Care Clinic/Center in Arvada, CO
• Providers in Arvada, CO by specialty
• Adult Day Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.