NPIMap

Organization Active NPI

Pathways 1 Sober Living

  • Substance Abuse Rehabilitation Facility
  • Azusa, CA
National Provider Identifier
1720659816
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PATHWAYS 1 SOBER LIVING
Doing business as
Pathways Recovery Center
Practice address
1033 N Soldano Ave
Azusa, CA 91702-2136
Phone
(626) 515-6424
Fax
(626) 515-8279
NPI assigned
Jul 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Authorized official

Name
Miss Madonna Michelle Lecaine
Title
Executive Assistant
Phone
(626) 412-6812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1033 N Soldano Ave
Azusa, CA 91702-2136

Mailing address

13312 Ranchero Rd # 18-168
Oak Hills, CA 92344-4812
Phone (626) 373-6006

Other names 1

  • Pathways Recovery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pathways 1 Sober Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1720659816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13312 RANCHERO RD # 18-168",
            "city": "OAK HILLS",
            "state": "CA",
            "postal_code": "923444812",
            "telephone_number": "626-373-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 N SOLDANO AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022136",
            "telephone_number": "626-515-6424",
            "fax_number": "626-515-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS 1 SOBER LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "LECAINE",
        "authorized_official_first_name": "MADONNA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "626-412-6812",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathways Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Azusa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.