JOURNEYPURE ORLANDO LLC (NPI# 1841709573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841709573 |
Entity Type | Organization |
Organization Name | JOURNEYPURE ORLANDO LLC |
Practice Address |
6903 University Blvd Winter Park FL 32792-6707 |
Mailing Address |
618 Ne Jensen Beach Blvd Jensen Beach FL 34957-4750 |
Practice Telephone | 7722017892 |
Mailing Telephone | 7722252200 |
Enumeration Date | 2017-09-26 |
Last Update Date | 2017-09-26 |
Authorized Official Name | MR. GEORGE K WINN JR. (MANAGER) |
Authorized Official Telephone | 7722017892 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740799568 | Journeypure Orlando LLC | Substance Abuse Rehabilitation Facility | 6903 University Blvd, Winter Park, FL 32792-6707 | 2017-09-25 |
Street Address |
6903 UNIVERSITY BLVD |
City | WINTER PARK |
State | FL |
Zip Code | 32792-6707 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740799568 | Journeypure Orlando LLC | Substance Abuse Rehabilitation Facility | 6903 University Blvd, Winter Park, FL 32792-6707 | 2017-09-25 |
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Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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City | WINTER PARK |
Zip Code | 32792 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.