NPIMap

Organization Active NPI

Pathways, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Painted Post, NY
National Provider Identifier
1679644603
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
7113443 Issued in NY
Legal business name
PATHWAYS, INC.
Practice address
4162 Meads Creek Rd
Painted Post, NY 14870-9538
Phone
(607) 937-3836
Fax
(607) 962-4330
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Mr. Edward J Lukomski, ED.D
Title
Executive Director
Phone
(607) 937-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 7113443 NY Primary

Addresses

Primary practice location

4162 Meads Creek Rd
Painted Post, NY 14870-9538

Mailing address

33 Denison Pkwy W
Corning, NY 14830-2613
Phone (607) 937-3200

Other identifiers 1

IdentifierTypeStateIssuer
02173522MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679644603. Details of each certification follow.

  • CCN 33H384 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 33H384

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PATHWAYS, INC
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jul 3, 2001
Last certification
Jan 23, 2025
Beds
10
Ownership / control type
Private (non-profit)
Facility address
4162 Meads Creek Road
Painted Post, NY 14870

National Provider Directory

National Provider Directory
Tax ID family
Pathways Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

4162 Meads Creek Rd
Painted Post, NY 14870
Phone (607) 937-3836

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1679644603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 DENISON PKWY W",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302613",
            "telephone_number": "607-937-3200",
            "fax_number": "607-937-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4162 MEADS CREEK RD",
            "city": "PAINTED POST",
            "state": "NY",
            "postal_code": "148709538",
            "telephone_number": "607-937-3836",
            "fax_number": "607-962-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "LUKOMSKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "607-937-3200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NY",
            "license": "7113443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02173522",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Painted Post, NY

Sources for this page

Verify at the official NPI Registry.