Healthcare Provider Details

I. General information

NPI: 1427910397
Provider Name (Legal Business Name): TYBEE ISLAND TRAILS OF JOURNEY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 VAN HORNE AVE
TYBEE ISLAND GA
31328-9780
US

IV. Provider business mailing address

26 VAN HORNE AVE
TYBEE ISLAND GA
31328-9780
US

V. Phone/Fax

Practice location:
  • Phone: 912-786-4511
  • Fax:
Mailing address:
  • Phone: 912-786-4511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: BERNARD J MCGUINNESS III
Title or Position: MANAGER OF LLC
Credential:
Phone: 912-786-4511