Organization Active NPI

Sojourn Wellness

  • Psychiatric Residential Treatment Facility
  • Quincy, FL
National Provider Identifier
1780439000
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
SOJOURN WELLNESS
Practice address
1125 Strong Rd Apt 101
Quincy, FL 32351-8829
Phone
(850) 345-0859
NPI assigned
Apr 19, 2024
Last updated
Jul 22, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SOJOURN WELLNESSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Chantel LewisNPI 1649866591
Title
Owner
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

1125 Strong Rd Apt 101
Quincy, FL 32351-8829

Mailing address

1125 Strong Rd Apt 101
Quincy, FL 32351-8829
Phone (850) 345-0859

National Provider Directory

National Provider Directory
Tax ID family
Sojourn Wellness LLC2 organizations share this tax ID, including this one
Part of
Sojourn Wellness LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1780439000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 STRONG RD APT 101",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323518829",
            "telephone_number": "850-345-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 STRONG RD APT 101",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323518829",
            "telephone_number": "850-345-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOJOURN WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOJOURN WELLNESS",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CHANTEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-345-0859"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment 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 Jul 22, 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.