NPIMap

Organization Active NPI

Pathways Assisted Living & Memory Care, LLC

  • Assisted Living Facility
  • Goodyear, AZ
National Provider Identifier
1215427885
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10650C Issued in AZ
Legal business name
PATHWAYS ASSISTED LIVING & MEMORY CARE, LLC
Practice address
4211 N Pebble Creek Pkwy # 789
Goodyear, AZ 85395-9016
Phone
(602) 633-2300
NPI assigned
May 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Joey French
Title
Executive Director
Phone
(602) 344-1177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10650C AZ Primary

Addresses

Primary practice location

4211 N Pebble Creek Pkwy # 789
Goodyear, AZ 85395-9016

Mailing address

1599 E Orangewood Ave Ste 250
Phoenix, AZ 85020-5161
Phone (602) 994-1177

Other identifiers 1

IdentifierTypeStateIssuer
AL10650CMedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Pathways Assisted Living Memory Care LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4211 N Pebble Creek Pkwy
#789
Goodyear, AZ 85395
Phone (602) 633-2300

NPI Registry JSON

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1215427885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 E ORANGEWOOD AVE STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205161",
            "telephone_number": "602-994-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 N PEBBLE CREEK PKWY # 789",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959016",
            "telephone_number": "602-633-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS ASSISTED LIVING & MEMORY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "FRENCH",
        "authorized_official_first_name": "JOEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-344-1177"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL10650C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AL10650C",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.