Provider Demographics
NPI:1265677306
Name:PATHWAYS HEALTH CARE SERVICES,LLC.
Entity Type:Organization
Organization Name:PATHWAYS HEALTH CARE SERVICES,LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:N
Authorized Official - Last Name:JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:CTNA
Authorized Official - Phone:440-522-2309
Mailing Address - Street 1:1351 ASHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44052-1533
Mailing Address - Country:US
Mailing Address - Phone:440-522-2309
Mailing Address - Fax:
Practice Address - Street 1:1351 ASHLAND AVE
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44052-1533
Practice Address - Country:US
Practice Address - Phone:440-522-2309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH013456778164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164X00000XNursing Service ProvidersLicensed Vocational NurseGroup - Multi-Specialty