Organization Active NPI

Pathways of Idaho, LLC

Doing business as Clarvida

  • Case Management Agency
  • Boise, ID
National Provider Identifier
1467165076
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PATHWAYS OF IDAHO, LLC
Doing business as
Clarvida
Practice address
545 N Benjamin LN Ste 185
Boise, ID 83704-9625
Phone
(208) 856-0466
NPI assigned
Dec 28, 2022
Last updated
Jun 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Lindsey Bowen
Title
Director of Admin Ops
Phone
(208) 322-1026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

545 N Benjamin LN Ste 185
Boise, ID 83704-9625

Mailing address

545 N Benjamin LN Ste 185
Boise, ID 83704-9625
Phone (208) 856-0466

Other names 1

  • Clarvida Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ID_Inquiry@pathways.com
CONNECT URL www.pathwaysofidaho.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Clarvida4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1467165076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 N BENJAMIN LN STE 185",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049625",
            "telephone_number": "208-856-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 N BENJAMIN LN STE 185",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049625",
            "telephone_number": "208-856-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS OF IDAHO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2024-06-20",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "DIRECTOR OF ADMIN OPS",
        "authorized_official_telephone_number": "208-322-1026"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ID_Inquiry@pathways.com",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "545 N Benjamin Ln Ste 185",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837049625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.pathwaysofidaho.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "545 N Benjamin Ln Ste 185",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837049625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Clarvida",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clarvida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.