Provider Demographics
NPI:1427910397
Name:TYBEE ISLAND TRAILS OF JOURNEY LLC
Entity type:Organization
Organization Name:TYBEE ISLAND TRAILS OF JOURNEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER OF LLC
Authorized Official - Prefix:
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCGUINNESS
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:912-786-4511
Mailing Address - Street 1:26 VAN HORNE AVE
Mailing Address - Street 2:
Mailing Address - City:TYBEE ISLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31328-9780
Mailing Address - Country:US
Mailing Address - Phone:912-786-4511
Mailing Address - Fax:
Practice Address - Street 1:26 VAN HORNE AVE
Practice Address - Street 2:
Practice Address - City:TYBEE ISLAND
Practice Address - State:GA
Practice Address - Zip Code:31328-9780
Practice Address - Country:US
Practice Address - Phone:912-786-4511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-01
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility