Pathway to Success

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

PATHWAY TO SUCCESS

Practice address

112 Stagg St
Burlington, NC 27217-2654

Phone

(336) 229-2008

Fax

(336) 229-2008

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Stella K Fowler

Title

Administrator

Phone

(336) 229-2008

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Graham Drive Family Care Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Graham Drive Family Care Home

  • Adult Care Home Facility
  • Graham, NC
  • NPI 1255777256
  NPD tax ID

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1356469712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 HILLFORD DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272173173",
            "telephone_number": "336-229-5580",
            "fax_number": "336-229-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 STAGG ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172654",
            "telephone_number": "336-229-2008",
            "fax_number": "336-229-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY TO SUCCESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-229-2008",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": "FCL-001-028",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805484",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seema Kamlesh Patel, NP
• Sona A Patel, MD
• Sunny Harish Patel, M.D.
• Path Lab, Inc
• Pathway Community Living, LLC
• David Stuart Patterson, DDS
• Nathan Wright Patterson, D.D.S.
• Tiffany Hinesley Patterson, DPT
• Tristin Nichole Patterson, PHARMD
• Tyler Patterson, PHARMD

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Burlington, NC
• Providers in Burlington, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.