Active NPI
Pathway to a Lasting Recovery
- Non-emergency Medical Transport (VAN)
- Maywood, IL
National Provider Identifier
1649501081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.