NPIMap

Organization Active NPI

Pathways Hospice

  • Pediatric Hospice and Palliative Medicine Physician
  • Fort Collins, CO
National Provider Identifier
1558077511
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hospice and Palliative Medicine PhysicianTaxonomy code 2080H0002X
Legal business name
PATHWAYS HOSPICE
Practice address
305 Carpenter Rd
Fort Collins, CO 80525-4248
Phone
(970) 663-3500
NPI assigned
Jan 24, 2023
Last updated
Jan 24, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PATHWAYS HOSPICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Tim J Bowen
Title
Ceo
Phone
(303) 398-6203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hospice and Palliative Medicine Physician 2080H0002X NU Primary

Addresses

Primary practice location

305 Carpenter Rd
Fort Collins, CO 80525-4248

Mailing address

305 Carpenter Rd
Fort Collins, CO 80525-4248
Phone (970) 663-3500

Other names 1

  • Pathways CLLI Other name

National Provider Directory

National Provider Directory
Tax ID family
Pathways Hospice10 organizations share this tax ID, including this one
Part of
Pathways Hospice

Other organizations with this tax ID 9

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1558077511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CARPENTER RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254248",
            "telephone_number": "970-663-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CARPENTER RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254248",
            "telephone_number": "970-663-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS HOSPICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATHWAYS HOSPICE",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-398-6203"
    },
    "taxonomies": [
        {
            "code": "2080H0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathways CLLI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.