NPIMap

Organization Active NPI

Pathways Healthcare Pennsylvania, LLC

  • Home Health Agency
  • Kingston, PA
National Provider Identifier
1891793543
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
77330500 Issued in PA
Legal business name
PATHWAYS HEALTHCARE PENNSYLVANIA, LLC
Practice address
270 Pierce St Ste 308
Kingston, PA 18704
Phone
(570) 331-3360
Fax
(570) 331-3363
NPI assigned
Jul 7, 2005
Last updated
Feb 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Mr. Sean Talbot, COO
Title
Coo
Phone
(617) 481-9077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 77330500 PA Primary

Addresses

Primary practice location

270 Pierce St Ste 308
Kingston, PA 18704

Mailing address

101 Station Dr Ste 240
Westwood, MA 02090-2336
Phone (800) 939-1855

Other identifiers 1

IdentifierTypeStateIssuer
001746540MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160310001526 PA Part A Provider - Home Health Agency 2668778044 Practice locations: Kingston, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891793543. Details of each certification follow.

Home health agency certification: CCN 397733

Legal name
PATHWAYS HEALTHCARE PENNSYLVANIA LLC
Doing business as
PATHWAYS HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 23, 1999
Last certification
Jan 25, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 3, 2015 in PA
Enrollment address
270 Pierce St
Ste 308
Kingston, PA 18704-5141

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pathways HealthcareCCN 397733 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Feb 23, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

270 Pierce St
Ste 308
Kingston, PA 18704
Phone (570) 331-3360

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Janarthanan Someswarananthan Individual 5% Or Greater Indirect Ownership Interest Feb 22, 2016 6.6%
David M Heyman Individual 5% Or Greater Direct Ownership Interest Feb 22, 2016 13.75%
Corporate DirectorBoard Member Feb 22, 2016
John a Pasquella Individual 5% Or Greater Direct Ownership Interest Feb 22, 2016 13.75%
Corporate DirectorBoard Member Feb 22, 2016
Gereld O'Donnell Individual 5% Or Greater Direct Ownership Interest Feb 22, 2016 5%
W-2 Managing EmployeeChief Fin Officer Managing Membe Feb 22, 2016
Mohammed Jaleel Individual 5% Or Greater Indirect Ownership Interest Feb 22, 2016 6.67%
John J Talbot Individual 5% Or Greater Indirect Ownership Interest Feb 22, 2016 13.32%
Corporate OfficerCeo Feb 22, 2016
Corporate DirectorBoard Member Feb 22, 2016
Timothy P Amann Individual 5% Or Greater Direct Ownership Interest Feb 22, 2016 13.75%
Corporate DirectorBoard Member Feb 22, 2016
Sean Talbot Individual 5% Or Greater Indirect Ownership Interest Feb 22, 2016 6.68%
Corporate DirectorBoard Member Feb 22, 2016
New England Innovative Health Care PLLC Organization, North Andover, MA 5% Or Greater Indirect Ownership Interest Feb 22, 2016 20%
Pathways Healthcare LLC Organization, Westwood, MA LLC, For-profit 5% Or Greater Direct Ownership Interest Feb 22, 2016 40%
Asif Merchant Individual 5% Or Greater Indirect Ownership Interest Feb 22, 2016 6.67%
Dennis P McHugh Individual 5% Or Greater Direct Ownership Interest Feb 22, 2016 13.75%
Corporate DirectorBaord Member Feb 22, 2016

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Change-of-ownership history 2

DateEventCounterparty
Feb 22, 2016 Change of OwnershipThis provider was the buyer Diversified Nursing, Inc.CCN 397733, PA, NPI 1891793543
Feb 22, 2016 Change of OwnershipThis provider was the seller Pathways HealthcareCCN 397733, PA, NPI 1891793543

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1891793543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 STATION DR STE 240",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902336",
            "telephone_number": "800-939-1855",
            "fax_number": "570-331-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 PIERCE ST STE 308",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "18704",
            "telephone_number": "570-331-3360",
            "fax_number": "570-331-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS HEALTHCARE PENNSYLVANIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "TALBOT",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "617-481-9077",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "77330500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001746540",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.