A Path to a New World LLC

Organization Active NPI In Home Supportive Care Agency · Phoenix, AZ

NPI 1134744360 · NPPES record last updated Jun 12, 2020

Key facts

NPI
1134744360
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
A PATH TO A NEW WORLD LLC
Practice address
11242 N 19TH Ave Ste 24
Phoenix, AZ 85029-4857
Phone
(602) 535-6001
NPI assigned
Jun 12, 2020
Organization subpart
No

Authorized official

Name
Sharika Davidson
Title
Owner
Phone
(602) 535-6001

National Provider Directory

Locations

11242 N 19th Ave
Ste 24
Phoenix, AZ 85029
Phone (602) 535-6001

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician
Group: 193200000X MULTI-SPECIALTY GROUP
106S00000X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X Yes
Respite Care 385H00000X

Addresses

Primary practice location

11242 N 19TH Ave Ste 24
Phoenix, AZ 85029-4857

Mailing address

11242 N 19TH Ave Ste 24
Phoenix, AZ 85029-4857
Phone (602) 535-6001

Electronic endpoints

TypeEndpointUseAffiliation
Other URL Apathtoanewworld@gmail.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 12, 2020.

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1134744360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11242 N 19TH AVE STE 24",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294857",
            "telephone_number": "602-535-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11242 N 19TH AVE STE 24",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294857",
            "telephone_number": "602-535-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PATH TO A NEW WORLD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "SHARIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-535-6001"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Apathtoanewworld@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/a",
            "address_1": "11242 N 19th Ave Ste 24",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850294857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

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Sources for this page

Verify at the official NPI Registry.