Provider Demographics
NPI:1457223232
Name:LOVING JOURNEY HOMES
Entity type:Organization
Organization Name:LOVING JOURNEY HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDIAL ASSIST
Authorized Official - Prefix:
Authorized Official - First Name:PRINCESS
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:NCMA,PCT
Authorized Official - Phone:201-283-6465
Mailing Address - Street 1:2348 KENNEDY BLVD APT 1C
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-1679
Mailing Address - Country:US
Mailing Address - Phone:201-884-3023
Mailing Address - Fax:
Practice Address - Street 1:2348 KENNEDY BLVD APT 1C
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07304-1679
Practice Address - Country:US
Practice Address - Phone:201-884-3023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No253Z00000XAgenciesIn Home Supportive Care
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
No251C00000XAgenciesDay Training, Developmentally Disabled Services