Pathfinder, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

PATHFINDER, INC.

Practice address

2520 W Main St
Jacksonville, AR 72076-4214

Phone

(501) 982-0528

Fax

(501) 985-1462

NPI assigned

Apr 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James C Green

Title

Director

Phone

(501) 982-0528

Specialties & licenses 1

Addresses

Other identifiers 10

Other names 1

• Pathfinder Schools, Inc. Former legal business name

Tax ID family

Pathfinder Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

• Pathfinder, Inc

  • Community/Behavioral Health Agency
  • Jacksonville, AR
  • NPI 1639362379
  NPD tax ID
• Pathfinder, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Jacksonville, AR
  • NPI 1326004466
  NPD tax ID
• Pathfinder, Inc.

  • Physical Therapist
  • Jacksonville, AR
  • NPI 1336397520
  NPD tax ID
• Pathfinder, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville, AR
  • NPI 1629035043
  NPD tax ID
• Pathfinder, Inc.

  • Non-emergency Medical Transport (VAN)
  • Jacksonville, AR
  • NPI 1750348140
  NPD tax ID
• Pathfinder, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Jacksonville, AR
  • NPI 1912964305
  NPD tax ID

Practitioners 1

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

• Laura Grace Weyrens, LCSW

  • Clinical Social Worker
  • Little Rock, AR
  • NPI 1871508457
  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1023075595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 647",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720780647",
            "telephone_number": "501-982-0528",
            "fax_number": "501-985-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 W MAIN ST",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764214",
            "telephone_number": "501-982-0528",
            "fax_number": "501-985-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHFINDER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "501-982-0528",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109395213",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109475213",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109356213",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109471213",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109370213",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109469213",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109477213",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109474213",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109348213",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109478213",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathfinder Schools, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Pathfinder Schools, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jerry B Park, OP
• Randy Joseph Pastor, DO
• Chandani Umang Patel, PHARM. D.
• Urvi R Patel
• Pathfinder, Inc
• Pathfinder, Inc.
• Pathfinder, Inc.
• Pathfinder, Inc.
• Pathfinder, Inc.
• Pathfinder, Inc.

• Intellectual Disabilities Intermediate Care Facility in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• Intellectual Disabilities Intermediate Care Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.