Provider Demographics
NPI:1891429965
Name:PATHWAY HOMES, INC.
Entity Type:Organization
Organization Name:PATHWAY HOMES, INC.
Other - Org Name:PATHWAY HOMES DC CM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. V.P. FOR CLINICAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:MEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LICSW
Authorized Official - Phone:703-876-0390
Mailing Address - Street 1:1100 NEW JERSEY AVE SE STE 710
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-3340
Mailing Address - Country:US
Mailing Address - Phone:703-876-0390
Mailing Address - Fax:703-876-0394
Practice Address - Street 1:1100 NEW JERSEY AVE SE STE 710
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-3340
Practice Address - Country:US
Practice Address - Phone:703-876-0390
Practice Address - Fax:703-876-0394
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PATHWAY HOMES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-07-13
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1689756140Medicaid