MEDICARE: JOURNEYCARE, INC.

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	251G00000X	Community Based Hospice Care Agency	2000883	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9525	OTHER		BCBS PROVIDER #.
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821049933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOURNEYCARE, INC.

Provider Business Mailing Address
First Line	:	2050 CLAIRE CT.
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60025-7635
Country	:	US
Telephone Number	:	847-767-7423
Fax Number	:	847-556-1505

Provider Business Practice Location Address
First Line	:	405 LAKE ZURICH RD
Second Line	:
City	:	BARRINGTON
State	:	IL
Zip	:	60010-3141
Country	:	US
Telephone Number	:	847-467-7423
Fax Number	:	847-556-1505

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MS. KIMBERLY HOBSON
Credential	:
Telephone Number	:	847-467-7423

Provider Enumeration Date	:	05/13/2006
Last Update Date	:	07/16/2020

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Directions to “JOURNEYCARE, INC. ” Practice Location

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