Organization Active NPI

Pathway to a Lasting Recovery

  • Non-emergency Medical Transport (VAN)
  • Maywood, IL
National Provider Identifier
1649501081
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PATHWAY TO A LASTING RECOVERY
Practice address
1701 S 1St Ave
Suite# 310
Maywood, IL 60153-2442
Phone
(708) 344-0884
Fax
(708) 343-5629
NPI assigned
Jan 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Authorized official

Name
Mr. Frank Michael Jordan, MA CADC
Title
Owner
Phone
(708) 344-0884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1701 S 1St Ave
Suite# 310
Maywood, IL 60153-2442

Mailing address

1701 S 1St Ave
Suite# 310
Maywood, IL 60153-2442
Phone (708) 344-0884

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1649501081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 S 1ST AVE",
            "address_2": "SUITE# 310",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601532442",
            "telephone_number": "708-344-0884",
            "fax_number": "708-343-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S 1ST AVE",
            "address_2": "SUITE# 310",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601532442",
            "telephone_number": "708-344-0884",
            "fax_number": "708-343-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY TO A LASTING RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-344-0884",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA CADC"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.