Provider Demographics
NPI:1457024242
Name:CLEAR PATH HOME HEALTHCARE, INC.
Entity Type:Organization
Organization Name:CLEAR PATH HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:
Authorized Official - Last Name:MACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-299-9882
Mailing Address - Street 1:22857 MILLARD AVE
Mailing Address - Street 2:
Mailing Address - City:RICHTON PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60471-2532
Mailing Address - Country:US
Mailing Address - Phone:708-299-9882
Mailing Address - Fax:
Practice Address - Street 1:22857 MILLARD AVE
Practice Address - Street 2:
Practice Address - City:RICHTON PARK
Practice Address - State:IL
Practice Address - Zip Code:60471-2532
Practice Address - Country:US
Practice Address - Phone:708-299-9882
Practice Address - Fax:708-789-9280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health