NPIMap

Organization Active NPI

Pathways Home Health and Hospice

  • Community Based Hospice Care Agency
  • Alameda, CA
National Provider Identifier
1205049558
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PATHWAYS HOME HEALTH AND HOSPICE
Practice address
1050 Marina Village Pkwy Ste 105
Alameda, CA 94501-1099
Phone
(510) 632-4390
Fax
(510) 632-3334
NPI assigned
May 7, 2007
Last updated
Dec 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Jack Hawkins
Title
V.P. Finance & Cfo
Phone
(513) 576-8478

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 070000565 CA
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

1050 Marina Village Pkwy Ste 105
Alameda, CA 94501-1099

Mailing address

585 N Mary Ave
Sunnyvale, CA 94085-2905
Phone (408) 730-1500

Other identifiers 2

IdentifierTypeStateIssuer
CA181927OtherCAMEDICARE PART B
HPC01506HMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051116001076 CA Part A Provider - Hospice 9931127958 Practice locations: Oakland, CA
O20160112000836 CA Part B Supplier - Clinic/Group Practice 9931127958 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Sunnyvale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205049558. Details of each certification follow.

Hospice certification: CCN 051506

Legal name
PATHWAYS HOME HEALTH AND HOSPICE
Doing business as
COMMONSPIRIT HEALTH AT HOME
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 16, 1984
Last certification
Dec 7, 2017
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
Jun 15, 1993 in CA
Enrollment address
333 Hegenberger Rd
Ste 700
Oakland, CA 94621-1463

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Pathways Home Health and HospiceCCN 051506 · All quality measures
Ownership
Non-Profit
Certified
Mar 16, 1984
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1050 Marina Village Pkwy
Ste 105
Alameda, CA 94501
Phone (510) 632-4390

333 Hegenberger Rd
Ste 700
Oakland, CA 94621
Phone (510) 632-4390

7901 Oakport St
Ste 3500
Oakland, CA 94621
Phone (510) 632-4390

395 Oyster Point Blvd
Ste 128
South San Francisco, CA 94080
Phone (408) 730-5900

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
El Camino Hospital Organization, Mountain View, CA Management services company 5% Or Greater Direct Ownership Interest Apr 1, 1986 50%
Thomas Harshman Individual Corporate DirectorBoard Member May 16, 2008
Andrew M Robinson Individual W-2 Managing Employee Oct 28, 2019
Deobrah a Muro Individual Corporate DirectorBoard Member Apr 2, 2018
Consolidated Health Services LLC Organization, Loveland, OH LLC Operational/Managerial Control Nov 1, 2019 100%
Daniel Scott Dietz Individual Corporate DirectorBoard Member Jan 1, 2019
Jeffrey P Daneff Individual Corporate DirectorBoard Member Feb 24, 2022
Eleanor Linda Vigilante Individual Corporate DirectorVP Patient Care, Coo Dec 1, 2019
Kim Marie Costello Individual Corporate DirectorBoard Member Mar 30, 2019
Cheryl Lynn Reinking Individual Corporate DirectorBoard Member Apr 28, 2016
Trisha L Crissman Individual Corporate DirectorBoard Member Jan 1, 2019
Jack D Hawkins Individual Corporate OfficerVP Finance Cfo Feb 1, 2022
Jagmohan S Khaira Individual W-2 Managing EmployeeMedical Director Jan 1, 2023
Dignity Community Care Organization, Redwood City, CA Management services company 5% Or Greater Direct Ownership Interest Apr 1, 1986 50%
Mary Pat Larsen Individual W-2 Managing EmployeeAd;Executive Director Jan 26, 2022

Owners & managing parties with NPI records 15

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 15

Facilities with the same owner 66

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 66

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1205049558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 N MARY AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940852905",
            "telephone_number": "408-730-1500",
            "fax_number": "408-730-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MARINA VILLAGE PKWY STE 105",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011099",
            "telephone_number": "510-632-4390",
            "fax_number": "510-632-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS HOME HEALTH AND HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "V.P. FINANCE & CFO",
        "authorized_official_telephone_number": "513-576-8478"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "070000565",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "CA181927",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01506H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.