MEDICARE: JOURNEY HOSPICE 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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1861883746
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOURNEY HOSPICE LLC

Provider Business Mailing Address
First Line	:	6712 WASHINGTON AVE
Second Line	:	SUITE 201
City	:	EGG HARBOR TOWNSHIP
State	:	NJ
Zip	:	08234-1999
Country	:	US
Telephone Number	:	609-380-4302
Fax Number	:	609-380-4305

Provider Business Practice Location Address
First Line	:	6712 WASHINGTON AVE
Second Line	:	SUITE 201
City	:	EGG HARBOR TOWNSHIP
State	:	NJ
Zip	:	08234-1999
Country	:	US
Telephone Number	:	609-380-4302
Fax Number	:	609-380-4305

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	MISS NORA GIURICI
Credential	:	RN
Telephone Number	:	609-380-4302

Provider Enumeration Date	:	02/12/2015
Last Update Date	:	01/04/2016

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