Healthcare Provider Details

I. General information

NPI: 1154248425
Provider Name (Legal Business Name): JOURNEY HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4358 SWAN ST
HAINES CITY FL
33844-6456
US

IV. Provider business mailing address

4358 SWAN ST
HAINES CITY FL
33844-6456
US

V. Phone/Fax

Practice location:
  • Phone: 407-907-3515
  • Fax:
Mailing address:
  • Phone: 407-907-3515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: YANUELIE K NUNEZ
Title or Position: OWNER
Credential:
Phone: 407-907-3515