Healthcare Provider Details

I. General information

NPI: 1811880156
Provider Name (Legal Business Name): JOURNEY CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2025
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 MAIN ST UNIT 727
LAUREL MD
20725-7531
US

IV. Provider business mailing address

PO BOX 727
LAUREL MD
20725-0727
US

V. Phone/Fax

Practice location:
  • Phone: 301-213-0750
  • Fax:
Mailing address:
  • Phone: 301-213-0750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: FANTA CONDE
Title or Position: CO-OWNER
Credential: LMFT
Phone: 301-213-0750