NPIMap

Organization Active NPI

Compassion Pathway Behavioral Health LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Elk Grove, CA
National Provider Identifier
1992476642
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
COMPASSION PATHWAY BEHAVIORAL HEALTH LLC
Practice address
5410 White Lotus Way
Elk Grove, CA 95757-4354
Phone
(916) 870-9676
NPI assigned
Sep 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Authorized official

Name
Mr. Ifeanyi Valley Ezeani
Title
Chief Executive Officer
Phone
(916) 870-9676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

5410 White Lotus Way
Elk Grove, CA 95757-4354

Mailing address

5410 White Lotus Way
Elk Grove, CA 95757-4354
Phone (916) 870-9676

Other names 1

  • Compassion Pathway Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Compassion Pathway Behavioral Health LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1992476642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 WHITE LOTUS WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957574354",
            "telephone_number": "916-870-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 WHITE LOTUS WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957574354",
            "telephone_number": "916-870-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION PATHWAY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "EZEANI",
        "authorized_official_first_name": "IFEANYI",
        "authorized_official_middle_name": "VALLEY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "916-870-9676",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassion Pathway Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.