MEDICARE: NEW JOURNEY HOME CARE SERVICES 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	376J00000X	Homemaker

General Provider Information

NPI Number	:	1760193312
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW JOURNEY HOME CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	13360 TWINWOOD LN APT 2203
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-5569
Country	:	US
Telephone Number	:	347-898-8021
Fax Number	:

Provider Business Practice Location Address
First Line	:	13360 TWINWOOD LN APT 2203
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-5569
Country	:	US
Telephone Number	:	347-898-8021
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. MILAIDI SPENCER
Credential	:
Telephone Number	:	347-898-8021

Provider Enumeration Date	:	12/05/2022
Last Update Date	:	12/05/2022

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Directions to “NEW JOURNEY HOME CARE SERVICES LLC ” Practice Location

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