WISE JOURNEY LTD (NPI# 1619523719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619523719 |
| Entity Type | Organization |
| Organization Name | WISE JOURNEY LTD |
| Practice Address |
325-b Brown Street Suite 132 Petersburg VA 23803 |
| Practice Telephone | 4346031646 |
| Mailing Telephone | 4346031646 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-19 |
| Authorized Official Name | SHELBY HARRIS (OWNER) |
| Authorized Official Telephone | 4346031646 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| Street Address |
325-B BROWN STREET SUITE 132 |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386101699 | Marliqua Barnes | Driver | 601 Carter St, Petersburg, VA 23803 | 2019-02-22 |
| 1356596571 | Quality Healthcare Inc | Community/Behavioral Health | 6111 Duncan Rd, Ste F, Petersburg, VA 23803 | 2008-12-02 |
| 1861614943 | Peoples Family Dental Care | Dentist | 1328 W Washington St, Petersburg, VA 23803 | 2007-05-02 |
| 1841333721 | Family Preservation Services, Inc | Community/Behavioral Health | 1000 Patterson Ave, Petersburg, VA 23803 | 2007-02-14 |
| 1154473155 | Progressive Adult Rehabilitation Center, Inc. | Day Training, Developmentally Disabled Services | 114 North Union Street, Suite B, Petersburg, VA 23803 | 2007-01-18 |
| 1861556615 | Evelyn V. Whitehead | Counselor | 115 E Wythe St, Petersburg, VA 23803 | 2006-12-19 |
| 1538248778 | Raymond Gibson Smith Jr. | Dentist | Seventh Avenue, Hiram Davis Medical Center, Petersburg, VA 23803 | 2006-11-06 |
| 1396842282 | Eugene Arthur Richardson IIi | Dentist | 23 Shore Street, Petersburg, VA 23803 | 2006-09-20 |
| 1679594030 | Olumuyiwa Akinniyi Ojediran | Internal Medicine | 734 South Sycamore Street, Petersburg, VA 23803 | 2006-07-21 |
| 1104872019 | Mark Militana | Emergency Medicine | 804 South Adams Street, Petersburg, VA 23803 | 2006-05-25 |
| Find all providers in zip 23803 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871107862 | Kendra Johnson | Adult Companion | 5940 Sentry Hill Ct # 9b, North Dinwiddie, VA 23803-7400 | 2020-09-07 |
| 1972114429 | Angel Florine Pye | Adult Companion | 1712 Princeton Ave, Norfolk, VA 23523-2332 | 2020-08-10 |
| 1972113199 | Hannah Beyan | Adult Companion | 13800 Coppermine Rd # 103, Herndon, VA 20171-6163 | 2020-08-03 |
| 1922632157 | Keith Stradford | Adult Companion | 1340 County Pond Rd, Freeman, VA 23856-2604 | 2020-02-26 |
| 1184263113 | Goal Succeeders | Adult Companion | 4401 Virginia Beach Blvd, Virginia Beach, VA 23462-3106 | 2019-12-20 |
| 1346886504 | Chaz Lamar Clyburn | Adult Companion | 5217 Shady Grove Ln, Virginia Beach, VA 23462-1787 | 2019-11-22 |
| 1407491244 | Clarissa Phillips | Adult Companion | 9254 Three Chopt Rd Apt C, Henrico, VA 23229-4049 | 2019-11-15 |
| 1528603172 | Quality Care At Home | Adult Companion | 5226 Whetstone Rd, North Chesterfield, VA 23234-4324 | 2019-11-07 |
| 1174165963 | Aracely Maldonado | Adult Companion | 3134 Eagle Talon St, Woodbridge, VA 22191-6509 | 2019-10-13 |
| 1770133886 | Gloria R Frye | Adult Companion | 10918 Robious Rd, North Chesterfield, VA 23235-3763 | 2019-09-19 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 23803 |
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| 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.