MEDICARE: LIFES JOURNEY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0	OTHER		PROCESS OF ACQUIRING OTHER IDENTIFIER

General Provider Information

NPI Number	:	1467051508
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFES JOURNEY LLC

Provider Business Mailing Address
First Line	:	7591 N 85TH DR
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85305-3982
Country	:	US
Telephone Number	:	609-462-9952
Fax Number	:

Provider Business Practice Location Address
First Line	:	7591 N 85TH DR
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85305-3982
Country	:	US
Telephone Number	:	609-462-9952
Fax Number	:

Authorized Official
Title or Position	:	GROUP HOME MANAGER
Name	:	MR. RICARDO RAMOS
Credential	:
Telephone Number	:	609-462-9952

Provider Enumeration Date	:	10/20/2020
Last Update Date	:	10/20/2020

Similar Medicare Providers

1184323180 — ARMANI SMITH
Practice Location Address:

203 W COVENTRY CT APT 115
GLENDALE, WI
53217-3982

Practice Phone: 414-366-6634
Practice Fax:

1699870824 — CATHERINE QUINN ROUSSEAU LCSW#
Practice Location Address:

203 W COVENTRY CT APT 103
GLENDALE, WI
53217-3982

Practice Phone: 414-412-3826
Practice Fax:

1205114857 — AMY R COLLIER LCSW, LCAC
Practice Location Address:

2702 GLENDALE BLVD
VALPARAISO, IN
46383-3982

Practice Phone: 219-386-3320
Practice Fax:

1114734118 — DR. ROD GARDIN PH.D.
Practice Location Address:

2702 GLENDALE BLVD
VALPARAISO, IN
46383-3982

Practice Phone: 219-510-4217
Practice Fax:

1811702988 — HEAL & BLOSSOM COUNSELING LLC
Practice Location Address:

2702 GLENDALE BLVD
VALPARAISO, IN
46383-3982

Practice Phone: 219-386-3320
Practice Fax:

1689368292 — DARIA WILSON DPT
Practice Location Address:

9494 W NORTHERN AVE STE 114&115
GLENDALE, AZ
85305-1118

Practice Phone: 623-745-3112
Practice Fax:

Directions to “LIFES JOURNEY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.