Healthcare Provider Details

I. General information

NPI: 1851219182
Provider Name (Legal Business Name): HERITAGE JOURNEY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1056 ROZELLE ST
MEMPHIS TN
38114-1858
US

IV. Provider business mailing address

597 EASTERN DR UNIT 161
MEMPHIS TN
38122-4050
US

V. Phone/Fax

Practice location:
  • Phone: 901-633-0191
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: VERONIKI JORDAN BARNES
Title or Position: OWNER
Credential:
Phone: 901-633-0191