Active NPI
Pathway Residential Services LLC
- In Home Supportive Care Agency
- Gorham, ME
National Provider Identifier
1174464267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- PATHWAY RESIDENTIAL SERVICES LLC
- Practice address
- 27 Duchaine Dr
Gorham, ME 04038-2085 - Phone
- (405) 861-4998
- NPI assigned
- Apr 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mike Mugisha
- Title
- Managing Member
- Phone
- (405) 861-4998
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
27 Duchaine Dr
Gorham, ME 04038-2085
Mailing address
27 Duchaine Dr
Gorham, ME 04038-2085
Phone (405) 961-4998
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775088000000",
"number": "1174464267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 DUCHAINE DR",
"city": "GORHAM",
"state": "ME",
"postal_code": "040382085",
"telephone_number": "405-961-4998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 DUCHAINE DR",
"city": "GORHAM",
"state": "ME",
"postal_code": "040382085",
"telephone_number": "405-861-4998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHWAY RESIDENTIAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-02",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A",
"authorized_official_last_name": "MUGISHA",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "405-861-4998"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gorham, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.