NPIMap

Organization Active NPI

Pathways Hospice

  • Inpatient Hospice
  • Ft Collins, CO
National Provider Identifier
1003520859
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
Legal business name
PATHWAYS HOSPICE
Practice address
317 Carpenter Rd
Ft Collins, CO 80525
Phone
(970) 821-8890
NPI assigned
Jan 6, 2023
Organization subpart
Yes
Parent organization
PATHWAYS HOSPICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tim J Bowen
Title
Ceo
Phone
(303) 398-6203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Inpatient Hospice 315D00000X Primary

Addresses

Primary practice location

317 Carpenter Rd
Ft Collins, CO 80525

Mailing address

305 Carpenter Rd
Fort Collins, CO 80525-4248
Phone (970) 663-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060307000795 CO Part B Supplier - Clinic/Group Practice 7911914577 Receives reassigned benefits from 107 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Collins, CO; Greeley, CO
O20080122000105 CO Part A Provider - Hospice 7911914577 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Collins, CO; Greeley, CO

Hospice certification: CCN 061516

Legal name
PATHWAYS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 26, 1986
Last certification
Mar 16, 2018
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
Feb 5, 1979 in CO
Enrollment address
305 Carpenter Rd
Fort Collins, CO 80525-4248

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Pathways HospiceCCN 061516
Ownership
Non-Profit
Certified
Nov 26, 1986
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Pathways Hospice10 organizations share this tax ID, including this one
Part of
Pathways Hospice

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kerri Davis Individual Corporate DirectorVP of Quality and Compliance Jun 5, 2026
Operational/Managerial Control May 29, 2026
Ramiro Johnnie Martinez Individual Corporate Director Jan 1, 2021
Jennifer Aberle Individual Corporate DirectorBoard Member Feb 28, 2025
Angela C Sickmon Individual W-2 Managing EmployeeDirector of Clinical Services May 1, 2024
Katrina Sue Einhellig Individual Corporate DirectorBoard Member Jan 1, 2021
Manried Diehl Individual Corporate OfficerBoard Member Apr 1, 2025
Edith K Matesic Individual Corporate DirectorBoard Member Aug 16, 2024
Gary Premer Individual Corporate DirectorBoard Member Apr 1, 2017
Eugene Leroy Haffner Individual Corporate DirectorBoard Member Jan 1, 2021
Comfort Bridge Organization, Denver, CO Non-profit Operational/Managerial Control May 31, 2015
Nathaniel Silas Chappelle Individual W-2 Managing EmployeeMedical Director Mar 9, 2024
William Beyers Individual Corporate DirectorBoard Member Jan 1, 2021
Mary Dellenbach Individual Corporate DirectorBoard Member Jan 1, 2021
Timothy Bowen Individual Corporate OfficerChief Executive Officer May 31, 2015
Lindsay Salazar Individual Corporate DirectorBoard Member Jan 1, 2022
Evan Hyatt Individual W-2 Managing EmployeeAd;President May 25, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 42

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 42

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1003520859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CARPENTER RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254248",
            "telephone_number": "970-663-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 CARPENTER RD",
            "city": "FT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-821-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS HOSPICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATHWAYS HOSPICE",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-398-6203"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Collins, CO

Sources for this page

Verify at the official NPI Registry.