SUCCESSFUL JOURNEYS, LLC (NPI# 1871947994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871947994 |
| Entity Type | Organization |
| Organization Name | SUCCESSFUL JOURNEYS, LLC |
| Other Organization Name | SUCCESSFUL JOURNEYS II |
| Practice Address |
20969 W Thomas Rd Buckeye AZ 85396-1645 |
| Mailing Address |
8828 N Central Ave Suite 206 Phoenix AZ 85020-2849 |
| Practice Telephone | 6235466545 |
| Practice Fax Number | 6233213599 |
| Mailing Telephone | 6234789400 |
| Mailing Fax Number | 6234789500 |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2017-04-28 |
| Authorized Official Name | MR. SEKOU JACKSON (CEO) |
| Authorized Official Telephone | 6234789400 |
| Authorized Official Credential | MA, MPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH4830 | AZ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 139413 | 05 |
| Other Name | Type Code |
|---|---|
| Successful Journeys II | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225564545 | Successful Journeys, LLC | Community Based Residential Treatment Facility, Mental Illness | 2106 W Vista Avenue, Phoenix, AZ 85021 | 2017-05-05 |
| 1013141407 | Successful Journeys, LLC | Community Based Residential Treatment Facility, Mental Illness | 4434 N 153rd Ln, Goodyear, AZ 85395-6302 | 2009-05-13 |
| Street Address |
20969 W THOMAS RD |
| City | BUCKEYE |
| State | AZ |
| Zip Code | 85396-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423902 | Randy Bland | Respite Care | 20731 W Stone Hill Road, Buckeye, AZ 85396 | 2019-12-06 |
| 1659875698 | Arizona Dental Professionals, P.C. | Dentist | 4120 N 197th Ave, Buckeye, AZ 85396 | 2018-03-23 |
| 1407365083 | Ashley Nicole Brezovsky | Specialist/Technologist | 21188 W Granada Rd, Buckeye, AZ 85396 | 2017-09-26 |
| 1205219391 | Judy Jennings | Home Health Aide | 20470 W Delaney Dr, Buckeye, AZ 85396 | 2015-07-07 |
| 1407003650 | Brent H Bethers | Dentist | 20738 W Legend Trl, Buckeye, AZ 85396 | 2008-08-19 |
| 1437297256 | Patrick Nemechek | Internal Medicine | 4252 N. Verrado Way, Buckeye, AZ 85396 | 2007-02-02 |
| 1164748612 | Julie Beth Stavinoha | General Practice | 20955 W Hamilton St, Buckeye, AZ 85396-1518 | 2010-04-08 |
| 1629234828 | Debra Muckler | Physical Therapist | 2799 N Heritage St, Buckeye, AZ 85396-1520 | 2008-08-06 |
| 1619386596 | Professional Nutrition Consulting, Pllc | Clinic/Center | 2886 N Heritage St, Buckeye, AZ 85396-1522 | 2014-08-05 |
| 1811396997 | Elisa Anne Rodriguez | Nutritionist | 2886 N Heritage St, Buckeye, AZ 85396-1522 | 2014-08-14 |
| Find all providers in zip 85396 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245682673 | Deveruex | Community Based Residential Treatment Facility, Mental Illness | 22958 W Gardenia Dr, Buckeye, AZ 85326-6230 | 2016-07-09 |
| 1780057323 | New Hope of Arizona, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1881 S 235th Dr, Buckeye, AZ 85326-3650 | 2015-11-04 |
| 1053701342 | New Hope of Arizona, Inc. | Community Based Residential Treatment Facility, Mental Illness | 21615 W Watkins St, Buckeye, AZ 85326-6562 | 2015-01-26 |
| 1962818187 | Martha's Residential Care LLC | Community Based Residential Treatment Facility, Mental Illness | 22958 W Pima St, Buckeye, AZ 85326-8734 | 2014-07-08 |
| 1205465788 | Home of Purpose Empowerment | Community Based Residential Treatment Facility, Mental Illness | 30938 W Mitchell Dr, Buckeye, AZ 85396-6813 | 2020-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598253 | Pinnacle Behavioral Health LLC | Community Based Residential Treatment Facility, Mental Illness | 45369 W Horse Mesa Rd, Maricopa, AZ 85139-9128 | 2020-11-03 |
| 1649878687 | Ayobami Noheem Agoro | Community Based Residential Treatment Facility, Mental Illness | 12362 W Joblanca Rd, Avondale, AZ 85323-3130 | 2020-10-13 |
| 1235736018 | Happy Valley Community Services LLC | Community Based Residential Treatment Facility, Mental Illness | 1106 E Cochise Dr, Phoenix, AZ 85020-1550 | 2020-10-05 |
| 1144835968 | Jfox II LLC | Community Based Residential Treatment Facility, Mental Illness | 5327 E Enrose Cir, Mesa, AZ 85205-5489 | 2020-09-09 |
| 1639782956 | Ascend Behavioral Health and Wellness,llc | Community Based Residential Treatment Facility, Mental Illness | 3308 W Desert Vista Trl, Phoenix, AZ 85083-5874 | 2020-08-26 |
| 1952913998 | Vema Corporation | Community Based Residential Treatment Facility, Mental Illness | 12701 N 79th Dr, Peoria, AZ 85381-9049 | 2020-08-20 |
| 1720698509 | Lyddia Getaweru | Community Based Residential Treatment Facility, Mental Illness | 2767 W Peggy Dr, Queen Creek, AZ 85142-6686 | 2020-08-05 |
| 1689284531 | Brain Solutions Pllc | Community Based Residential Treatment Facility, Mental Illness | 4555 S Maverick Ct, Gilbert, AZ 85297-9532 | 2020-08-05 |
| 1548879950 | C&j Care Home LLC | Community Based Residential Treatment Facility, Mental Illness | 4418 W Darrel Rd, Laveen, AZ 85339-6222 | 2020-07-31 |
| 1295353019 | Alliance Behavioral Care LLC | Community Based Residential Treatment Facility, Mental Illness | 2840 S Chaparral Blvd, Gilbert, AZ 85295-7675 | 2020-07-08 |
| Find all providers with the same taxonomy | ||||
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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.