CMS-1500 Box 24J / 33a • NPI
1356733844
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
251E00000X (CMS A4[11])
CMS-Certified Home Health Care & Skilled Nursing Agency
Box 32 Service Location & ZIP+4
1821 N PEARL ST, JACKSONVILLE, FL, 32206-3663
✓ 9-Digit EDI 837 ZIP+4 (32206-3663)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1356733844 (A RIVER'S JOURNEY, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1356733844 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | A RIVER'S JOURNEY, LLC |
| Plain-English Specialty | CMS-Certified Home Health Care & Skilled Nursing Agency NUCC Code: 251E00000X (Home Health) |
| Certifying / Licensing Body | CMS Home Health Conditions of Participation / CHAP / ACHC |
| Practice Location Address | 1821 N PEARL ST, JACKSONVILLE, FL, 32206-3663 |
| Practice Telephone / Fax | Tel: (804) 502-5840 | Fax: (904) 485-8541 |
| Administrative Mailing Address | PO BOX 77581, JACKSONVILLE, FL, 32226-7581 |
| Enumeration & Last Sync | Enumerated: 2015-02-20 | CMS Record Updated: 2021-01-29 |
| Authorized Official | LATRENA THOMAS (CHIEF EXECUTIVE OFFICER) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (251E00000X)
What Does Taxonomy Code 251E00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251E00000X translates to:
"CMS-Certified Home Health Care & Skilled Nursing Agency"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (A RIVER'S JOURNEY, LLC)
Typical CPT / Diagnostic Procedures:- In-Home Skilled Nursing Wound Care, Ostomy & Catheter Management
- Home Intravenous Antibiotic Infusion (OPAT) & Post-Stroke Rehabilitation
- Home Infusion Antimicrobials, Anticoagulants & Insulin Titration
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
163W00000X — Registered NursePlain English: Licensed & Credentialed Registered Nurse | State: N/A | License: Verified | Primary: Secondary |
163WH0200X — Registered Nurse, Home HealthPlain English: CMS-Certified Home Health Care & Skilled Nursing Agency | State: N/A | License: Verified | Primary: Secondary |
164W00000X — Licensed Practical NursePlain English: Licensed & Credentialed Licensed Practical Nurse | State: N/A | License: Verified | Primary: Secondary |
251J00000X — Nursing CarePlain English: Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF) | State: N/A | License: Verified | Primary: Secondary |
320900000X — Community Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesPlain English: Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | State: N/A | License: Verified | Primary: Secondary |
385HR2060X — Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, ChildPlain English: Licensed & Credentialed Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | State: N/A | License: Verified | Primary: Secondary |
251E00000X — Home HealthPlain English: CMS-Certified Home Health Care & Skilled Nursing Agency | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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