PATHWAY HOUSE, INC.


Address: 806 W 10th St, Johnston City, IL 62951-1017
Phone: 6189838254

PATHWAY HOUSE, INC. (NPI# 1093166845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093166845
Entity Type Organization
Organization Name PATHWAY HOUSE, INC.
Practice Address 806 W 10th St
Johnston City
IL 62951-1017
Mailing Address Po Box 207
Johnston City
IL 62951-0207
Practice Telephone 6189838254
Practice Fax Number 6189838254
Mailing Telephone 6189838254
Mailing Fax Number 6189838254
Enumeration Date 2016-06-23
Last Update Date 2016-06-23
Authorized Official Name VERNA G WEBB (EXECUTIVE DIRECTOR)
Authorized Official Telephone 6189838254
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Office Location

Street Address 806 W 10TH ST
City JOHNSTON CITY
State IL
Zip Code 62951-1017

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1295020493 Rachel Adrianne Pauls Speech-Language Pathologist 1108 Grand Ave, Johnston City, IL 62951-1229 2011-06-15
1962428516 Johnston City Medical Clinic, S. C. Clinic/Center 201 W Broadway Blvd, Johnston City, IL 62951-1427 2006-07-15
1356342331 Christa S Pestka Family Medicine 14410 Route 37, Johnston City, IL 62951-1427 2005-08-02
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

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Competitor

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City JOHNSTON CITY
Zip Code 62951

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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