Journey Therapeutic Outreach Services L.L.C.

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

JOURNEY THERAPEUTIC OUTREACH SERVICES L.L.C.

Practice address

110 N 4TH St
Leesburg, FL 34748-5167

Phone

(352) 631-8568

NPI assigned

Apr 1, 2019

Last updated

Apr 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dustin Bass

Title

Co-Owner

Phone

(352) 631-8568

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1891257739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N 4TH ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485167",
            "telephone_number": "352-631-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N 4TH ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485167",
            "telephone_number": "352-631-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY THERAPEUTIC OUTREACH SERVICES L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "352-631-8568"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dustin.bass@jtoservices.com",
            "affiliation": "N",
            "endpointDescription": "Office email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "110 N 4th St",
            "city": "Leesburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347485167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas H. Jones, PA-C
• Michelle Joop, LCSW
• Jorge O Diaz MD PA
• Chelsea Joseph, COTA
• Shiny Joseph
• Caitlin Kachmar, RPH
• George Edward Kainz, M.D.
• Desiree A Kalarovich, RN
• Ana Karovska Vuchidolov, M.D.
• Gina Kasprick

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.