Provider Demographics
NPI:1912796657
Name:JOYFUL JOURNEY'S LIVING AND CARE LCC
Entity type:Organization
Organization Name:JOYFUL JOURNEY'S LIVING AND CARE LCC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAKIERA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-804-2545
Mailing Address - Street 1:43700 WOODWARD AVE STE 301
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48302-5062
Mailing Address - Country:US
Mailing Address - Phone:313-804-2545
Mailing Address - Fax:
Practice Address - Street 1:43700 WOODWARD AVE STE 301
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48302-5062
Practice Address - Country:US
Practice Address - Phone:313-804-2545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health