Active NPI
Pathway Homes, Inc.
- Community/Behavioral Health Agency
- Fairfax, VA
National Provider Identifier
1689756140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 121-03-001
- Legal business name
- PATHWAY HOMES, INC.
- Practice address
- 8411 Arlington Blvd Ste 340
Fairfax, VA 22031-4601 - Phone
- (703) 876-0390
- NPI assigned
- Oct 20, 2006
- 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
- Sylisa Lambert-Woodard
- Title
- President
- Phone
- (703) 876-0390
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 121-03-001 | VA | Primary |
Addresses
Primary practice location
8411 Arlington Blvd Ste 340
Fairfax, VA 22031-4601
Mailing address
8411 Arlington Blvd Ste 340
Fairfax, VA 22031-4601
Phone (703) 876-0390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004944232 | Medicaid | VA |
National Provider Directory
National Provider Directory- Tax ID family
- Pathway Homes Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Washington, DC
- NPI 1891429965
Locations
8411 Arlington Blvd
Ste 340
Fairfax, VA 22031
Phone (703) 876-0390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658793600000",
"number": "1689756140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8411 ARLINGTON BLVD STE 340",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314601",
"telephone_number": "703-876-0390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8411 ARLINGTON BLVD STE 340",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314601",
"telephone_number": "703-876-0390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHWAY HOMES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-20",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A",
"authorized_official_last_name": "LAMBERT-WOODARD",
"authorized_official_first_name": "SYLISA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-876-0390"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "VA",
"license": "121-03-001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004944232",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.