Pathfinder Aid Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF130 Issued in NE

Legal business name

PATHFINDER AID OPCO LLC

Doing business as

Pathfinder Place

Practice address

3010 N Clarkson St
Fremont, NE 68025-7709

Phone

(855) 878-0754

Fax

(312) 332-5639

NPI assigned

Apr 21, 2014

Organization subpart

No

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

Authorized official

Name

Daniel Guill

Title

Authorized Officer

Phone

(312) 725-7000

Specialties & licenses 1

Addresses

Other names 1

• Pathfinder Place Doing business as

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1023438819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N WABASH AVE",
            "address_2": "SUITE 3700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113586",
            "telephone_number": "312-725-7000",
            "fax_number": "312-332-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 N CLARKSON ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680257709",
            "telephone_number": "855-878-0754",
            "fax_number": "312-332-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHFINDER AID OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "GUILL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICER",
        "authorized_official_telephone_number": "312-725-7000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathfinder Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kent Padomek, PHARM. D.
• Cynthia N Pankratz, RN
• Sarah Papa, PLMHP, PCMSW
• Marsha Lyn Parsons
• William Paschall, P.T.
• Pathfinder Support Service
• Pathfinder Support Service
• Pathfinder Support Service, Inc
• Pathfinder Support Services, Inc.
• Patient First Testing

• Assisted Living Facility in Fremont, NE
• Providers in Fremont, NE by specialty
• Assisted Living Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.