Organization Active NPI

Pathfinders for Independence, Inc

  • In Home Supportive Care Agency
  • Lutz, FL
National Provider Identifier
1023318706
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
253Z00000X Issued in FL
Legal business name
PATHFINDERS FOR INDEPENDENCE, INC
Practice address
18418 Timberlan Dr
Lutz, FL 33549-5829
Phone
(813) 949-4313
NPI assigned
Oct 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Authorized official

Name
Beryl R Brown
Title
President/Executive Director
Phone
(813) 949-4313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 253Z00000X FL Primary

Addresses

Primary practice location

18418 Timberlan Dr
Lutz, FL 33549-5829

Mailing address

18418 Timberlan Dr
Lutz, FL 33549-5829
Phone (813) 949-4313

Other identifiers 2

IdentifierTypeStateIssuer
681878196MedicaidFL
681878198MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1023318706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18418 TIMBERLAN DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335495829",
            "telephone_number": "813-949-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18418 TIMBERLAN DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335495829",
            "telephone_number": "813-949-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHFINDERS FOR INDEPENDENCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BERYL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "813-949-4313"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "253Z00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "681878196",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "681878198",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.