Provider Demographics
NPI:1336204809
Name:JOURNEYCARE, INC.
Entity type:Organization
Organization Name:JOURNEYCARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-467-7423
Mailing Address - Street 1:2727 SYCAMORE RD
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:DEKALB
Mailing Address - State:IL
Mailing Address - Zip Code:60115-9204
Mailing Address - Country:US
Mailing Address - Phone:815-756-3000
Mailing Address - Fax:815-758-0962
Practice Address - Street 1:2727 SYCAMORE RD
Practice Address - Street 2:SUITE 1B
Practice Address - City:DEKALB
Practice Address - State:IL
Practice Address - Zip Code:60115-9204
Practice Address - Country:US
Practice Address - Phone:815-756-3000
Practice Address - Fax:815-758-0962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL09580OtherIL BCBS PROVIDER NO
IL141602Medicare ID - Type UnspecifiedHOSPICE
IL141602Medicare ID - Type UnspecifiedHOSPICE