NPIMap

Organization Active NPI

Pathways Youth Services, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Scottsburg, VA
National Provider Identifier
1235584244
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
1802-01-001 Issued in VA
Legal business name
PATHWAYS YOUTH SERVICES, LLC
Practice address
1103 Bagwell Dr
Scottsburg, VA 24589-2711
Phone
(434) 476-1624
Fax
(434) 476-1070
NPI assigned
Apr 27, 2016
Last updated
Apr 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Doris Chism
Title
Owner
Phone
(434) 476-1624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 1802-01-001 VA Primary

Addresses

Primary practice location

1103 Bagwell Dr
Scottsburg, VA 24589-2711

Mailing address

1010 Marions TRL
Halifax, VA 24558-3126
Phone (434) 476-5059

National Provider Directory

National Provider Directory
Tax ID family
Pathways Youth Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1235584244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MARIONS TRL",
            "city": "HALIFAX",
            "state": "VA",
            "postal_code": "245583126",
            "telephone_number": "434-476-5059",
            "fax_number": "434-476-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 BAGWELL DR",
            "city": "SCOTTSBURG",
            "state": "VA",
            "postal_code": "245892711",
            "telephone_number": "434-476-1624",
            "fax_number": "434-476-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS YOUTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "CHISM",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-476-1624"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "1802-01-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.