Active NPI
Journey Homecare Services
- Home Health Agency
- Greensboro, NC
National Provider Identifier
1942717442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2021
- Organization subpart
- Yes
- Parent organization
- JOURNEY ENTERPRISES
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210527000462 | NC | Part B Supplier - Independent Clinical Laboratory | 3971902735 | Practice locations: Greensboro, NC |
National Provider Directory
National Provider DirectoryLocations
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.