Organization Active NPI

Pathway Hospice and Palliative Care, Inc.

  • Community Based Hospice Care Agency
  • St George, UT
National Provider Identifier
1639648959
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PATHWAY HOSPICE AND PALLIATIVE CARE, INC.
Practice address
1240 E 100 S Ste 17B
St George, UT 84790-3074
Phone
(435) 477-6999
Fax
(435) 477-6990
NPI assigned
Nov 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Authorized official

Name
Richard Fritzler
Title
President
Phone
(435) 477-6999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1240 E 100 S Ste 17B
St George, UT 84790-3074

Mailing address

1240 E 100 S Ste 17B
St George, UT 84790-3074
Phone (435) 477-6999

Other names 1

  • PathwayHospiceCare.com Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190318000534 UT Part A Provider - Hospice 2163762816 Practice locations: St George, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639648959. Details of each certification follow.

Hospice certification: CCN 461624

Legal name
PATHWAY HOSPICE AND PALLIATIVE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 16, 2019
Last certification
Jul 16, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Oct 18, 2018 in UT
Enrollment address
1240 E 100 S
Ste 17B
St George, UT 84790-3074

Care Compare: Hospice

Medicare Care Compare
Listed as
Pathway Hospice and Palliative CareCCN 461624 · All quality measures
Ownership
For-Profit
Certified
Jul 16, 2019
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2159786Pathway Hospice and Palliative Care, Inc1240 E 100 S, Suite 17-B, St George, UT 84790Certificate of waiverDec 25, 2026

National Provider Directory

National Provider Directory

Locations

446 S Mall Dr
Ste 214
Saint George, UT 84790
Phone (435) 477-6999

446 S Mall Dr
#214
St George, UT 84790

446 S Mall Dr
Ste 206
St George, UT 84790

1240 E 100 S
Ste 17B
St George, UT 84790
Phone (435) 477-6999

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Melvin Rex Carter Individual Contracted Managing EmployeeMD; Jul 16, 2019 20%
Operational/Managerial ControlMedical Director Jul 16, 2019 20%
Crystalle Carey Individual W-2 Managing EmployeeDirector of Nursing Aug 18, 2022 5%
Paulina Heck Individual W-2 Managing EmployeeAssistant Administrator Mar 19, 2024 5%
Richard D Fritzler Individual 5% Or Greater Direct Ownership InterestStockholder Dec 10, 2018 50%
Corporate OfficerPresident Dec 10, 2018
Corporate DirectorBoard Chairman Dec 10, 2018 25%
W-2 Managing EmployeeBusiness Director Mar 15, 2019
Judy L. Caldwell Individual Contracted Managing EmployeeMD; Jul 16, 2020 20%
Operational/Managerial ControlMedical Director Jul 16, 2020 20%
Kaylie Fritzler Individual 5% Or Greater Direct Ownership InterestStockholder Dec 10, 2018 50%
Corporate OfficerSecretary/Treasurer Dec 10, 2018
Corporate DirectorBoard Member Mar 1, 2019 25%
W-2 Managing EmployeeBusiness Manager Mar 15, 2019
Operational/Managerial ControlAssistant Administrator Mar 1, 2019

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1639648959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 E 100 S STE 17B",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847903074",
            "telephone_number": "435-477-6999",
            "fax_number": "435-477-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 E 100 S STE 17B",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847903074",
            "telephone_number": "435-477-6999",
            "fax_number": "435-477-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY HOSPICE AND PALLIATIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "FRITZLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-477-6999"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PathwayHospiceCare.com",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.