MEDICARE: JOURNEY OF HOPE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility

General Provider Information

NPI Number	:	1558213256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOURNEY OF HOPE SERVICES LLC

Provider Business Mailing Address
First Line	:	4907 TOOLEY DR
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23831-6632
Country	:	US
Telephone Number	:	804-898-6062
Fax Number	:

Provider Business Practice Location Address
First Line	:	4907 TOOLEY DR
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23831-6632
Country	:	US
Telephone Number	:	804-898-6062
Fax Number	:

Authorized Official
Title or Position	:	CAO
Name	:	KEON CHAPMAN
Credential	:	BSQMHP
Telephone Number	:	804-898-6062

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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Directions to “JOURNEY OF HOPE SERVICES LLC ” Practice Location

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