Journey of Peace Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

JOURNEY OF PEACE HOMECARE LLC

Practice address

311 E Grant St
Poynette, WI 53955-8938

Phone

(608) 336-3111

NPI assigned

Dec 1, 2023

Last updated

Dec 1, 2023By 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

Rebecca Mousseau

Title

Administrator

Phone

(608) 336-3111

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1922874874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E GRANT ST",
            "city": "POYNETTE",
            "state": "WI",
            "postal_code": "539558938",
            "telephone_number": "608-336-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E GRANT ST",
            "city": "POYNETTE",
            "state": "WI",
            "postal_code": "539558938",
            "telephone_number": "608-336-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY OF PEACE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "MOUSSEAU",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "608-336-3111"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100231717",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lou Ann Newby

• In Home Supportive Care Agency in Poynette, WI
• Providers in Poynette, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.