Provider Demographics
NPI:1811880156
Name:JOURNEY CARE SERVICES
Entity type:Organization
Organization Name:JOURNEY CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FANTA
Authorized Official - Middle Name:
Authorized Official - Last Name:CONDE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:301-213-0750
Mailing Address - Street 1:PO BOX 727
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20725-0727
Mailing Address - Country:US
Mailing Address - Phone:301-213-0750
Mailing Address - Fax:
Practice Address - Street 1:324 MAIN ST UNIT 727
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20725-7531
Practice Address - Country:US
Practice Address - Phone:301-213-0750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty