Provider Demographics
NPI:1346751807
Name:GUIDINGWAY HEALTHCARE LLC
Entity Type:Organization
Organization Name:GUIDINGWAY HEALTHCARE LLC
Other - Org Name:NA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEGALL
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:210-929-8394
Mailing Address - Street 1:6326 SOVEREIGN ST STE 235
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-5130
Mailing Address - Country:US
Mailing Address - Phone:210-929-8394
Mailing Address - Fax:
Practice Address - Street 1:6326 SOVEREIGN ST STE 235
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-5130
Practice Address - Country:US
Practice Address - Phone:210-929-8394
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-23
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care