PATHWAY LIVING CENTER, INC (NPI# 1821218983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821218983 |
| Entity Type | Organization |
| Organization Name | PATHWAY LIVING CENTER, INC |
| Practice Address |
562 2nd Ave S Clinton IA 52732 |
| Mailing Address |
P.o. Box 1896 Clinton IA 52733-1896 |
| Practice Telephone | 5632423687 |
| Practice Fax Number | 5632429319 |
| Mailing Telephone | 5632423687 |
| Mailing Fax Number | 5632429319 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MELISSA MARY PETERSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5632423687 |
| Authorized Official Credential | LBSW, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | IA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0423400 | 05 | |
| IA | 0231548 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700090867 | Pathway Living Center, Inc | Community/Behavioral Health | 562 2nd Ave S, Clinton, IA 52732 | 2007-05-09 |
| Street Address |
562 2ND AVE S |
| City | CLINTON |
| State | IA |
| Zip Code | 52732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700090867 | Pathway Living Center, Inc | Community/Behavioral Health | 562 2nd Ave S, Clinton, IA 52732 | 2007-05-09 |
| 1619181773 | Pathway Living Center, Inc. | Community/Behavioral Health | 562 2nd Ave S, Clinton, IA 52732 | 2007-05-09 |
| 1528272689 | Pathway Living Center, Inc. | Community/Behavioral Health | 562 2nd Ave S, Clinton, IA 52732 | 2007-05-09 |
| 1891909958 | Pathway Living Center, Inc. | Community/Behavioral Health | 562 2nd Ave S, Clinton, IA 52732 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343240 | Janet R Graf | Technician | 450 South 19th St., Clinton, IA 52732 | 2019-08-29 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1053835256 | Linda Karina Garcia | Physician Assistant | 1410 N Fourth St, Clinton, IA 52732 | 2017-07-29 |
| 1821528423 | Tricia Lee Grimes | Technician | 2349 Dunham St, Clinton, IA 52732 | 2017-06-15 |
| 1750822425 | Danielle Judd | Skilled Nursing Facility | 2220 N 5th St, Clinton, IA 52732 | 2017-03-15 |
| 1689047185 | Connell Family Chiropractic Pllc | Chiropractor | 1485 Main Avenue, Clinton, IA 52732 | 2015-11-05 |
| 1942619713 | Reese Raymond Petersen | Chiropractor | 2319 S 19th St, Clinton, IA 52732 | 2014-08-06 |
| 1487942298 | Wagner Pharmacy Company | Pharmacy | 1726 N. 2nd Street, Clinton, IA 52732 | 2011-07-13 |
| 1275829921 | Rebecca Plante | Pharmacist | 1309 N 2nd Street, Clinton, IA 52732 | 2011-06-21 |
| 1639318363 | Ryan P Connell | Chiropractor | 1437 Main Ave, Clinton, IA 52732 | 2009-02-19 |
| Find all providers in zip 52732 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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| 1114570173 | Strive Therapeutic Services Inc | Community/Behavioral Health | 1508 Neptune Dr, Clinton, OK 73601-9706 | 2019-07-18 |
| 1467987701 | One Hope, LLC | Community/Behavioral Health | 2 Dove Way Cir, Clinton, MS 39056-3589 | 2017-04-24 |
| 1043751548 | Wilma Gaines | Community/Behavioral Health | 7801 Royal Fern Ct, Clinton, MD 20735-2054 | 2017-03-16 |
| 1417409152 | Ursula Shaw | Community/Behavioral Health | 10105 Plank Rd. Ste A, Clinton, LA 70722 | 2016-10-28 |
| 1003365164 | Right Path House, LLC | Community/Behavioral Health | 23 Elmwood Way, Clinton, CT 06413-1508 | 2016-09-29 |
| 1912452095 | Restore Counseling and Consulting Services | Community/Behavioral Health | 610 E Leake St, Clinton, MS 39056-4321 | 2016-08-18 |
| 1245691187 | Frelix Consulting | Community/Behavioral Health | 207 Trailwood Dr, Clinton, MS 39056-5844 | 2016-03-18 |
| 1861880585 | Counseling & Assesment Clinic | Community/Behavioral Health | 1 Coolidge Pl Suit 712, Clinton, MA 01510 | 2015-01-05 |
| Find all providers in CLINTON | ||||
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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.