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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Apathtoanewworld@gmail.com | Direct |
NPI Registry JSON
{
"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
- A New Hope Behavioral Health Home
- A New Life Wellness Retreat LLC
- A New Path Recovery, LLC
- A New Perspective Counseling Center, Inc.
- A Path of Resilience - Aprbhs - Rose House - LLC
- A Paul Serrano DDS PC
- A Peace of Mind Health & Wellness
- A Place 2 Turn
- A Place All My Own Health Care LLC
- A Plus Care LLC
All providers in Phoenix, AZ · In Home Supportive Care Agency in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.