Healthcare Provider Details

I. General information

NPI: 1144933904
Provider Name (Legal Business Name): JOURNEY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2022
Last Update Date: 02/22/2023
Certification Date: 02/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 S PARK PL STE 8
MORRISTOWN NJ
07960-3924
US

IV. Provider business mailing address

45 S PARK PL STE 8
MORRISTOWN NJ
07960-3924
US

V. Phone/Fax

Practice location:
  • Phone: 862-812-1811
  • Fax:
Mailing address:
  • Phone:
  • 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 Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NATHANIEL DISKINT
Title or Position: CEO
Credential:
Phone: 862-812-1811