NPIMap

Organization Active NPI

Paths to Independence, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ravenna, OH
National Provider Identifier
1801048889
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
24319 Issued in OH
Legal business name
PATHS TO INDEPENDENCE, INC.
Practice address
3953 Loomis Pkwy
Ravenna, OH 44266-4201
Phone
(330) 296-2851
Fax
(330) 296-8631
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Authorized official

Name
Anna Barrett
Title
Executive Director
Phone
(330) 296-2851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 24319 OH Primary

Addresses

Primary practice location

3953 Loomis Pkwy
Ravenna, OH 44266-4201

Mailing address

161 E Main St
Ravenna, OH 44266-3129
Phone (330) 296-2851

Other identifiers 2

IdentifierTypeStateIssuer
24319OtherOHMR LICENSE NUMBER
2439347MedicaidOH

Other names 1

  • Paths to Independence - Lincoln Doing business as

Medicare participation

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

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G287

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
PATHS TO INDEPENDENCE-LINCOLN
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Aug 29, 1988
Last certification
Oct 28, 2025
Beds
9
Ownership / control type
Private (non-profit)
Most recent change of ownership
Jan 1, 2004
Facility address
3953 Loomis Parkway
Ravenna, OH 44266

National Provider Directory

National Provider Directory
Tax ID family
Independence of Portage County Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

3953 Loomis Pkwy
Ravenna, OH 44266
Phone (330) 296-2851

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1801048889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 E MAIN ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663129",
            "telephone_number": "330-296-2851",
            "fax_number": "330-296-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3953 LOOMIS PKWY",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442664201",
            "telephone_number": "330-296-2851",
            "fax_number": "330-296-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHS TO INDEPENDENCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-296-2851"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "24319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MR LICENSE NUMBER",
            "identifier": "24319",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2439347",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paths to Independence - Lincoln",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ravenna, OH

Sources for this page

Verify at the official NPI Registry.