Organization Active NPI

New Journey Community Residential & Independent Living Inc.

  • Adult Care Home Facility
  • Fort Myers, FL
National Provider Identifier
1972401388
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
NEW JOURNEY COMMUNITY RESIDENTIAL & INDEPENDENT LIVING INC.
Practice address
3057 Lincoln Blvd
Fort Myers, FL 33916-4136
Phone
(239) 565-4050
Fax
(239) 990-6343
NPI assigned
Oct 27, 2026
Last updated
Oct 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

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

Authorized official

Name
Daterria Iron
Title
Provider
Phone
(239) 565-4050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

3057 Lincoln Blvd
Fort Myers, FL 33916-4136

Mailing address

3057 Lincoln Blvd
Fort Myers, FL 33916-4136
Phone (239) 565-4050

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1793059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793059200000",
    "number": "1972401388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3057 LINCOLN BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339164136",
            "telephone_number": "239-565-4050",
            "fax_number": "239-990-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3057 LINCOLN BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339164136",
            "telephone_number": "239-565-4050",
            "fax_number": "239-990-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JOURNEY COMMUNITY RESIDENTIAL & INDEPENDENT LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-27",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A",
        "authorized_official_last_name": "IRON",
        "authorized_official_first_name": "DATERRIA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "239-565-4050"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; 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.