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NPI Code Detail

MEDICARE: JOURNEY EMPIRE HOMECARE SERVICES LLC

MEDICARE: JOURNEY EMPIRE HOMECARE 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1750258315
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOURNEY EMPIRE HOMECARE SERVICES LLC
Provider Business Mailing Address
First Line : 5310 FERRARI AVE
Second Line :
City : AVE MARIA
State : FL
Zip : 34142-9564
Country : US
Telephone Number : 786-262-4803
Fax Number :
Provider Business Practice Location Address
First Line : 5072 ANNUNCIATION CIR STE 206
Second Line :
City : AVE MARIA
State : FL
Zip : 34142-9695
Country : US
Telephone Number : 786-262-4803
Fax Number :
Authorized Official
Title or Position : OWNER
Name : GLADYS HERRING
Credential :
Telephone Number : 786-262-4803
Provider Enumeration Date : 10/20/2025
Last Update Date : 10/20/2025

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Directions to “JOURNEY EMPIRE HOMECARE SERVICES LLC ” Practice Location

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