Organization Active NPI

Pathway2Recoveryky LLC

  • In Home Supportive Care Agency
  • Louisville, KY
National Provider Identifier
1487181087
Registry record updated May 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PATHWAY2RECOVERYKY LLC
Practice address
214 Breckenridge LN Ste 207
Louisville, KY 40207-3879
Phone
(502) 552-2604
NPI assigned
May 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2017

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

Authorized official

Name
Mr. Donald Martin Mitchell Jr., CPA
Title
Owner
Phone
(502) 552-2604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

214 Breckenridge LN Ste 207
Louisville, KY 40207-3879

Mailing address

214 Breckenridge LN Ste 207
Louisville, KY 40207-3879

National Provider Directory

National Provider Directory

Locations

214 Breckenridge Ln
Ste 207
Louisville, KY 40207
Phone (502) 338-8455

NPI Registry JSON

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494806400000",
    "number": "1487181087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 BRECKENRIDGE LN STE 207",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 BRECKENRIDGE LN STE 207",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073879",
            "telephone_number": "502-552-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY2RECOVERYKY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-15",
        "last_updated": "2017-05-15",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-552-2604",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; 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.