Provider Demographics
NPI:1891158606
Name:PATHWAYS OF LOVE HEALTHCARE LLC
Entity Type:Organization
Organization Name:PATHWAYS OF LOVE HEALTHCARE LLC
Other - Org Name:PATHWAYS HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERVISING NURSE AND ALT ADMINISTR
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEHMANN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:979-704-6684
Mailing Address - Street 1:1121 BRIARCREST DR
Mailing Address - Street 2:STE 302
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-2505
Mailing Address - Country:US
Mailing Address - Phone:979-704-6684
Mailing Address - Fax:979-704-6690
Practice Address - Street 1:1121 BRIARCREST DR
Practice Address - Street 2:STE 302
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-2505
Practice Address - Country:US
Practice Address - Phone:979-704-6684
Practice Address - Fax:979-704-6690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-30
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based