Organization Active NPI

Pathways Development LLC

  • In Home Supportive Care Agency
  • Greensboro, NC
National Provider Identifier
1336740307
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PATHWAYS DEVELOPMENT LLC
Practice address
3411 Martin Ave
Greensboro, NC 27405-3533
Phone
(616) 334-0686
NPI assigned
Nov 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Johnie Tyler
Title
Owner
Phone
(616) 334-0686

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TA0700X
In Home Supportive Care Agency 253Z00000X Primary
Adult CompanionGroup: 193400000X SINGLE SPECIALTY GROUP 372600000X

Addresses

Primary practice location

3411 Martin Ave
Greensboro, NC 27405-3533

Mailing address

3411 Martin Ave
Greensboro, NC 27405-3533
Phone (616) 334-0686

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1336740307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 MARTIN AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053533",
            "telephone_number": "616-334-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 MARTIN AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053533",
            "telephone_number": "616-334-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS DEVELOPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "JOHNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-334-0686"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.