Organization Active NPI

Pathways Hospice LLC

  • Community Based Hospice Care Agency
  • Berea, OH
National Provider Identifier
1760827042
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
251G00000X Issued in OH
Legal business name
PATHWAYS HOSPICE LLC
Practice address
885 W. Bagley Road
Berea, OH 44017
Phone
(440) 835-2220
Fax
(440) 835-2224
NPI assigned
May 1, 2013
Last updated
Jun 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
David Glen Noggle
Title
President / Ceo
Phone
(440) 835-2220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 251G00000X OH Primary

Addresses

Primary practice location

885 W. Bagley Road
Berea, OH 44017

Mailing address

885 W. Bagley Road
Berea, OH 44017
Phone (440) 835-2220

Medicare participation

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

National Provider Directory

National Provider Directory

Locations

885 W Bagley Rd
Berea, OH 44017
Phone (440) 835-2220

24803 Detroit Rd
Ste D
Westlake, OH 44145
Phone (440) 835-2220

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Mar 23, 2018 Change of OwnershipThis provider was the seller Pathways Hospice and Palliative CareCCN 361676, OH, NPI 1174010581

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1760827042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 W. BAGLEY ROAD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "44017",
            "telephone_number": "440-835-2220",
            "fax_number": "440-835-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 W. BAGLEY ROAD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "44017",
            "telephone_number": "440-835-2220",
            "fax_number": "440-835-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "NOGGLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "440-835-2220"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OH",
            "license": "251G00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, OH

Sources for this page

Verify at the official NPI Registry.