MEDICARE: JOURNEYS COMMUNITY SERVICES INC

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	385H00000X	Respite Care

General Provider Information

NPI Number	:	1487015624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOURNEYS COMMUNITY SERVICES INC

Provider Business Mailing Address
First Line	:	401 N BUFFALO DR
Second Line	:	STE 202
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-0310
Country	:	US
Telephone Number	:	702-527-7661
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 N BUFFALO DR
Second Line	:	STE 202
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-0310
Country	:	US
Telephone Number	:	702-527-7661
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	RONNIE K TAYLOR
Credential	:	MS, MSW, LCSW
Telephone Number	:	702-236-4870

Provider Enumeration Date	:	03/16/2016
Last Update Date	:	03/16/2016

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Directions to “JOURNEYS COMMUNITY SERVICES INC ” Practice Location

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