Provider Demographics
NPI:1275014235
Name:PATHWAYS HEALTHCARE, LLC
Entity Type:Organization
Organization Name:PATHWAYS HEALTHCARE, LLC
Other - Org Name:PATHWAYS HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TALBOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-481-9077
Mailing Address - Street 1:101 STATION DR STE 240
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-2336
Mailing Address - Country:US
Mailing Address - Phone:617-687-0522
Mailing Address - Fax:617-687-0522
Practice Address - Street 1:24 ORCHARD VIEW DR STE 3
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3376
Practice Address - Country:US
Practice Address - Phone:009-939-1855
Practice Address - Fax:855-939-1855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-27
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH251E00000X
251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based