Provider Demographics
NPI:1043763246
Name:PATHWAY HOME HEALTH LLC
Entity Type:Organization
Organization Name:PATHWAY HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:OKENY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-761-5698
Mailing Address - Street 1:16 BERWICK ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-4908
Mailing Address - Country:US
Mailing Address - Phone:978-761-5698
Mailing Address - Fax:
Practice Address - Street 1:572 BOSTON RD UNIT 13
Practice Address - Street 2:
Practice Address - City:BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01821-3761
Practice Address - Country:US
Practice Address - Phone:978-761-5698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-25
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health