Provider Demographics
NPI:1467703199
Name:PATHFINDER HEALTHCARE, LLC
Entity Type:Organization
Organization Name:PATHFINDER HEALTHCARE, LLC
Other - Org Name:PATHFINDER HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CCO
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-390-4040
Mailing Address - Street 1:322 SPRING HILL DR STE B100
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-3401
Mailing Address - Country:US
Mailing Address - Phone:936-291-7284
Mailing Address - Fax:936-436-9308
Practice Address - Street 1:1544 SAWDUST RD STE 180A
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-2902
Practice Address - Country:US
Practice Address - Phone:281-364-9161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-20
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX01647OtherLICENSE SECOND LOCATION LICENSE
TX015375OtherLICENSE
458396Medicare PIN