Sacred Path Compassion & Recovery Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SACRED PATH COMPASSION & RECOVERY SERVICES LLC

Practice address

315 Horseshoe Dr
Grants Pass, OR 97526-7822

Phone

(458) 226-0017

NPI assigned

Sep 10, 2026

Organization subpart

No

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

Authorized official

Name

Johnathan T Stillwagon, CRM, PSS, CHW, HCW,

Title

Owner

Phone

(458) 226-0017

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1891605820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 HORSESHOE DR",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975267822",
            "telephone_number": "458-226-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 HORSESHOE DR",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975267822",
            "telephone_number": "458-226-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED PATH COMPASSION & RECOVERY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "STILLWAGON",
        "authorized_official_first_name": "JOHNATHAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "458-226-0017",
        "authorized_official_credential": "CRM, PSS, CHW, HCW,"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.