Provider Demographics
NPI:1407515406
Name:PATHWAY TO CARE LLC
Entity Type:Organization
Organization Name:PATHWAY TO CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAWNDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SIRMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-779-3858
Mailing Address - Street 1:3930 MONROEVILLE BLVD APT E8
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2428
Mailing Address - Country:US
Mailing Address - Phone:412-779-3858
Mailing Address - Fax:
Practice Address - Street 1:3930 MONROEVILLE BLVD APT E8
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2428
Practice Address - Country:US
Practice Address - Phone:412-779-3858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-17
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care