Active NPI
Patheway Life
- Home Health Agency
- Atlanta, GA
National Provider Identifier
1770320970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PATHEWAY LIFE
- Practice address
- 3379 Peachtree Rd NE # 756
Atlanta, GA 30326-1031 - Phone
- (312) 731-2600
- NPI assigned
- Jul 15, 2024
- 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
- Sophia Bracey
- Title
- Ceo
- Phone
- (312) 731-2600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Home Infusion Agency | 251F00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
3379 Peachtree Rd NE # 756
Atlanta, GA 30326-1031
Mailing address
3379 Peachtree Rd NE # 756
Atlanta, GA 30326-1031
Other practice location 1
1880 S Dairy Ashford Rd Ste 207
Houston, TX 77077-4759
Phone (312) 731-2600
Other names 1
- Patheway Life
National Provider Directory
National Provider DirectoryPractitioners & 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": "1721001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721001600000",
"number": "1770320970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3379 PEACHTREE RD NE # 756",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303261031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3379 PEACHTREE RD NE # 756",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303261031",
"telephone_number": "312-731-2600"
}
],
"practiceLocations": [
{
"address_1": "1880 S Dairy Ashford Rd Ste 207",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770774759",
"country_code": "US",
"telephone_number": "312-731-2600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PATHEWAY LIFE",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-15",
"last_updated": "2024-07-15",
"certification_date": "2024-07-14",
"status": "A",
"authorized_official_last_name": "BRACEY",
"authorized_official_first_name": "SOPHIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "312-731-2600"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Patheway Life",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.