Provider Demographics
NPI:1538474358
Name:PATHWAY HOME HEALTH
Entity Type:Organization
Organization Name:PATHWAY HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:JACINTHO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-553-0592
Mailing Address - Street 1:10935 ESTATE LN
Mailing Address - Street 2:SUITE 100J
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-2316
Mailing Address - Country:US
Mailing Address - Phone:214-553-0592
Mailing Address - Fax:214-553-9271
Practice Address - Street 1:10935 ESTATE LN
Practice Address - Street 2:SUITE 100J
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-2316
Practice Address - Country:US
Practice Address - Phone:214-553-0592
Practice Address - Fax:214-553-9271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010280251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX743143Medicare Oscar/Certification