Pathways Enhanced Care LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PATHWAYS ENHANCED CARE LLC

Practice address

31 Derry St
Manchester, NH 03104-5004

Phone

(603) 931-2676

NPI assigned

Sep 30, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Fay Elizabeth Blake, PHD

Title

Chief Operating Officer

Phone

(603) 931-2676

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1912725920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 DERRY ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031045004",
            "telephone_number": "603-931-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 DERRY ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031045004",
            "telephone_number": "603-931-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS ENHANCED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-29",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "FAY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "603-931-2676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill D Patel, PHARMACY STUDENT
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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Manchester, NH
• Providers in Manchester, NH by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.

Verify at the official NPI Registry.