OrganizationActive
Journeys Healthcare
NPI 1841655453 · Intellectual Disabilities Intermediate Care Facility · Lake Waccamaw, NC
Provider details
- NPI number
- 1841655453
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Haynes Graham, Prseident(910) 840-7481
- License
- 146393 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
515 Carver Moore Rd
Lake Waccamaw, NC 28450-9713
Phone: (910) 840-7481
Street-level locationGet directions
Mailing address
515 Carver Moore Rd
Lake Waccamaw, NC 28450-9713
Registry dates
- Enumerated
- 2015-12-24
- Last updated
- 2015-12-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.