Organization Active NPI

Journey Homecare Services

  • Home Health Agency
  • Greensboro, NC
National Provider Identifier
1942717442
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JOURNEY HOMECARE SERVICES
Practice address
1451 S Elm Eugene St # 1211
Greensboro, NC 27406-2200
Phone
(336) 763-5055
Fax
(336) 464-2333
NPI assigned
Jan 5, 2018
Last updated
Mar 19, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
JOURNEY ENTERPRISESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Authorized official

Name
Fanta Dorley
Title
Chief Financial Officer
Phone
(336) 327-8080

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X Primary
Home Infusion Agency 251F00000X
Clinical Medical Laboratory 291U00000X
Nurse's Aide 376K00000X
Respite Care 385H00000X
Registered Nurse 163W00000X
In Home Supportive Care Agency 253Z00000X
Local Education Agency (LEA) 251300000X

Addresses

Primary practice location

1451 S Elm Eugene St # 1211
Greensboro, NC 27406-2200

Mailing address

1451 S Elm Eugene St # 1211
Greensboro, NC 27406-2200
Phone (336) 763-5055

Other practice location 1

3102 Alder Way
Greensboro, NC 27407-6721
Phone (336) 446-9719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210527000462 NC Part B Supplier - Independent Clinical Laboratory 3971902735 Practice locations: Greensboro, NC

National Provider Directory

National Provider Directory

Locations

1451 S Elm Eugene St
#1211
Greensboro, NC 27406
Phone (336) 763-5055

NPI Registry JSON

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1942717442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 S ELM EUGENE ST # 1211",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274062200",
            "telephone_number": "336-763-5055",
            "fax_number": "336-464-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 S ELM EUGENE ST # 1211",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274062200",
            "telephone_number": "336-763-5055",
            "fax_number": "336-464-2333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3102 Alder Way",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274076721",
            "country_code": "US",
            "telephone_number": "336-446-9719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOURNEY HOMECARE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOURNEY ENTERPRISES",
        "enumeration_date": "2018-01-05",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "DORLEY",
        "authorized_official_first_name": "FANTA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "336-327-8080"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.