Active NPI
Patheway Life
- Home Health Agency
- Surprise, AZ
National Provider Identifier
1558190819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PATHEWAY LIFE
- Practice address
- 15411 W Waddell Rd Ste 102
Surprise, AZ 85379-5170 - Phone
- (708) 698-0033
- NPI assigned
- Jul 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chupal Crump
- Title
- Ceo
- Phone
- (708) 698-0033
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
15411 W Waddell Rd Ste 102
Surprise, AZ 85379-5170
Mailing address
3379 Peachtree Rd NE Ste 756
Atlanta, GA 30326-1031
Other names 1
- Apatheway Life
National Provider Directory
National Provider DirectoryLocations
3379 Peachtree Rd NE
Ste 756
Atlanta, GA 30326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721952000000",
"number": "1558190819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3379 PEACHTREE RD NE STE 756",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303261031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15411 W WADDELL RD STE 102",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853795170",
"telephone_number": "708-698-0033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHEWAY LIFE",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-26",
"last_updated": "2024-07-26",
"certification_date": "2024-07-19",
"status": "A",
"authorized_official_last_name": "CRUMP",
"authorized_official_first_name": "CHUPAL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "708-698-0033"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Apatheway Life",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.