Provider Demographics
NPI:1053916668
Name:JOURNEYS HEALTH SERVICES LLC
Entity type:Organization
Organization Name:JOURNEYS HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHANEIKA
Authorized Official - Middle Name:RAYAUNA
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:CNA, ASSOCIATES HCA
Authorized Official - Phone:865-316-4571
Mailing Address - Street 1:727 TRENTON ST
Mailing Address - Street 2:
Mailing Address - City:HARRIMAN
Mailing Address - State:TN
Mailing Address - Zip Code:37748-2623
Mailing Address - Country:US
Mailing Address - Phone:865-316-4571
Mailing Address - Fax:
Practice Address - Street 1:727 TRENTON ST
Practice Address - Street 2:
Practice Address - City:HARRIMAN
Practice Address - State:TN
Practice Address - Zip Code:37748-2623
Practice Address - Country:US
Practice Address - Phone:865-316-4571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty