LIFE JOURNEY CARE (NPI# 1477058899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477058899 |
| Entity Type | Organization |
| Organization Name | LIFE JOURNEY CARE |
| Practice Address |
898 River Hill Rd Statesville NC 28625-9112 |
| Practice Telephone | 3362550854 |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2019-03-06 |
| Authorized Official Name | AISHA CAMPBELL (ADMINISTRATOR) |
| Authorized Official Telephone | 3362550854 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 251E00000X | Home Health | IHCP-0819 | SC | Agencies |
| Street Address |
898 RIVER HILL RD |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28625-9112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714163 | Sandra Lourdes Mayta | Counselor | 1450 Fern Creek Drive, Statesville, NC 28625 | 2020-03-05 |
| 1023643582 | Youngchi Chang Dds Pllc | Dentist | 964 Glenway Ave Ste A, Statesville, NC 28625 | 2020-03-05 |
| 1538799200 | Nicole-marie Blischak | Dentist | 964 Glenway Dr, Ste A, Statesville, NC 28625 | 2020-01-22 |
| 1013575257 | Sherry Neilson | Registered Nurse | 524 Signal Hill Rd, Statesville, NC 28625 | 2019-06-03 |
| 1770904328 | Elinor Kyle Tyner | Counselor | 1206 Museum Road, Statesville, NC 28625 | 2013-12-30 |
| 1982031001 | Tamiko Bradley | Counselor | 524 Signal Hill Dr Ext, Statesville, NC 28625 | 2013-10-03 |
| 1487932505 | Nicole Weisner Winecoff | Advanced Practice Midwife | 1420 Fern Creek Drive, Statesville, NC 28625 | 2011-07-22 |
| 1538461967 | Bethany J Sprague | Nurse Practitioner | 2632 Fines Creek Dr, Statesville, NC 28625 | 2010-11-17 |
| 1477789147 | Greenbriar Primary Care, Pa | Nurse Practitioner | 308-c Mocksville Highway, Statesville, NC 28625 | 2009-06-08 |
| 1619122538 | Phasebdevelopment | Substance Abuse Rehabilitation Facility | 113 Bethany Rd, Statesville, NC 28625 | 2008-11-19 |
| Find all providers in zip 28625 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821416561 | Agape Home Care Services | Home Health | 2572 Davie Ave, Statesville, NC 28625-9249 | 2014-03-31 |
| 1356668529 | Home Care Helpers LLC | Home Health | 211 South Center St, Suite 212, Statesville, NC 28677-5873 | 2010-04-28 |
| 1356676084 | Shining Stars Home Health Agency | Home Health | 2117 Windrush Ct, Statesville, NC 28625-5000 | 2009-10-14 |
| 1467580399 | Senior Companion Services LLC | Home Health | 212 N Mulberry St, Statesville, NC 28677-5138 | 2007-03-01 |
| 1184771875 | Crossroads Home Health, Inc. | Home Health | 1622 Davie Ave, Statesville, NC 28677-3520 | 2007-01-04 |
| 1073680724 | Personal Touch Care Team, Inc | Home Health | 137 Jennings Rd Ste B, Statesville, NC 28625-9598 | 2006-11-29 |
| 1376628578 | Gibson Care Corp. | Home Health | 608 Signal Hill Drive Ext, Statesville, NC 28625-4353 | 2006-10-26 |
| 1861503252 | Samaritan Healthcare, Inc | Home Health | 1433 Davie Ave, Statesville, NC 28677-3515 | 2006-08-31 |
| 1790793263 | North Carolina Home Care, Inc | Home Health | 218 W Broad St, Statesville, NC 28677-5258 | 2006-08-03 |
| 1215986260 | Iredell Memorial Hospital, Inc. | Home Health | 541 Gaither Rd, Statesville, NC 28625-8383 | 2006-05-08 |
| Find all providers in STATESVILLE | ||||
| City | STATESVILLE |
| Zip Code | 28625 |
Please comment or provide details below to improve the information on LIFE JOURNEY CARE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.