Active NPI
The Journey Foundation, Inc.
- Home Health Agency
- Fernandina Beach, FL
National Provider Identifier
1962094664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- THE JOURNEY FOUNDATION, INC.
- Practice address
- 910 S 8TH St Ste 205
Fernandina Beach, FL 32034-3771 - Phone
- (904) 365-0346
- Fax
- (888) 561-3842
- NPI assigned
- Feb 4, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sonya Deloatch
- Title
- Administrator
- Phone
- (904) 365-0346
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Home Health Agency | 251E00000X | Primary | ||
| Nursing Care Agency | 251J00000X | |||
| Early Intervention Provider Agency | 252Y00000X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Medically Fragile Infants and Children Day Care | 261QM3000X | |||
| Personal Care Attendant | 3747P1801X |
Addresses
Primary practice location
910 S 8TH St Ste 205
Fernandina Beach, FL 32034-3771
Mailing address
910 S 8TH St Ste 205
Fernandina Beach, FL 32034-3771
Phone (904) 365-0346
Other practice location 1
505 W Hickpochee Ave Ste 200-301
LaBelle, FL 33935-4735
Phone (904) 603-1688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2140 | Other | FL | FACILITY CERTIFICATE NUMBER |
Other names 1
- The Butterfly Garden
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | SecureFax | Other |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Jacksonville, FL
- NPI 1760971923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666137600000",
"number": "1962094664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 S 8TH ST STE 205",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "320343771",
"telephone_number": "904-365-0346",
"fax_number": "888-561-3842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 S 8TH ST STE 205",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "320343771",
"telephone_number": "904-365-0346",
"fax_number": "888-561-3842"
}
],
"practiceLocations": [
{
"address_1": "505 W Hickpochee Ave Ste 200-301",
"address_purpose": "LOCATION",
"city": "LaBelle",
"state": "FL",
"postal_code": "339354735",
"country_code": "US",
"telephone_number": "904-603-1688",
"fax_number": "888-561-3842",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THE JOURNEY FOUNDATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-04",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A",
"authorized_official_last_name": "DELOATCH",
"authorized_official_first_name": "SONYA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "904-365-0346"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM3000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY CERTIFICATE NUMBER",
"identifier": "2140",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "SecureFax",
"affiliation": "N",
"endpointDescription": "8885613842",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Fax",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PHI",
"address_1": "910 S 8th St Ste 205",
"city": "Fernandina Beach",
"state": "FL",
"country_code": "US",
"postal_code": "320343771",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "The Butterfly Garden",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fernandina Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.