PATHWAYS ASSISTED LIVING AND MEMORY CARE, LLC (NPI# 1164806105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164806105 |
| Entity Type | Organization |
| Organization Name | PATHWAYS ASSISTED LIVING AND MEMORY CARE, LLC |
| Practice Address |
4211 N. Pebble Creek Pkwy Bldg 2 Goodyear AZ 85395 |
| Practice Telephone | 6026332300 |
| Mailing Telephone | 6026332300 |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |
| Authorized Official Name | JOHN STITELER (OWNER/MANAGER) |
| Authorized Official Telephone | 6029441177 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL9373H | AZ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 024268 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457735110 | Pathways Assisted Living and Memory Care, LLC | Assisted Living Facility | 4211 N Pebble Creek Pkwy Bldg 3, Goodyear, AZ 85395-9016 | 2015-07-13 |
| 1548648660 | Pathways Assisted Living and Memory Care, LLC | Assisted Living Facility | 4211 N Pebble Creek Pkwy Bldg 4, Goodyear, AZ 85395-9016 | 2015-05-08 |
| Street Address |
4211 N. PEBBLE CREEK PKWY BLDG 2 |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
| 1851947865 | Az Care Partners Home Care, LLC | Chore Provider | 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 | 2019-08-15 |
| 1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
| 1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
| 1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
| 1912497504 | Goodyear Modern Dentistry, LLP | Dentist | 15260 West Mcdowell Rd, Goodyear, AZ 85395 | 2018-05-18 |
| 1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
| 1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
| 1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
| 1023520228 | Kathy Lynn Gorchesky | Registered Nurse | 15430 West Turney Avenue, Goodyear, AZ 85395 | 2017-10-27 |
| Find all providers in zip 85395 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154887545 | Sisters Helping Hands Family Care, LLC | Assisted Living Facility | 15655 W Campbell Ave, Goodyear, AZ 85395-6378 | 2019-02-11 |
| 1497239446 | Under Angel Wings Care Home L.l.c | Assisted Living Facility | 18468 W Monterosa St, Goodyear, AZ 85395-6457 | 2018-09-15 |
| 1215427885 | Pathways Assisted Living & Memory Care, LLC | Assisted Living Facility | 4211 N Pebble Creek Pkwy # 789, Goodyear, AZ 85395-9016 | 2018-05-18 |
| 1336642768 | Camelia Dragomir and Andrei Ionut Danila Dba Goodyear Assisted Living | Assisted Living Facility | 14808 W Amelia Ave, Goodyear, AZ 85395-8205 | 2018-03-12 |
| 1508375098 | Amazing Care Assisted Living, LLC | Assisted Living Facility | 16345 W Roosevelt St, Goodyear, AZ 85338-6265 | 2017-09-27 |
| 1689035206 | Harmoni Care Assisted Living LLC | Assisted Living Facility | 16006 W Bartlett Ave, Goodyear, AZ 85338-9471 | 2016-03-09 |
| 1922472661 | Pathways Assisted Living & Memory Care, LLC | Assisted Living Facility | 4211 N Pebble Creek Pkwy, Bldg 5, Goodyear, AZ 85395-9016 | 2015-11-18 |
| 1457735110 | Pathways Assisted Living and Memory Care, LLC | Assisted Living Facility | 4211 N Pebble Creek Pkwy Bldg 3, Goodyear, AZ 85395-9016 | 2015-07-13 |
| 1548648660 | Pathways Assisted Living and Memory Care, LLC | Assisted Living Facility | 4211 N Pebble Creek Pkwy Bldg 4, Goodyear, AZ 85395-9016 | 2015-05-08 |
| 1073844031 | Devine Destiny Assisted Living | Assisted Living Facility | 16427 W Watkins St, Goodyear, AZ 85338-9713 | 2010-01-14 |
| Find all providers in GOODYEAR | ||||
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| 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.