Provider Demographics
NPI:1023147121
Name:LIGHTED PATHWAYS HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:LIGHTED PATHWAYS HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:MERCHANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-432-9055
Mailing Address - Street 1:PO BOX 43731
Mailing Address - Street 2:
Mailing Address - City:SEVEN POINTS
Mailing Address - State:TX
Mailing Address - Zip Code:75143-8510
Mailing Address - Country:US
Mailing Address - Phone:903-432-9055
Mailing Address - Fax:903-432-9455
Practice Address - Street 1:600 E CEDAR CREEK PARKWAY
Practice Address - Street 2:
Practice Address - City:SEVEN POINTS
Practice Address - State:TX
Practice Address - Zip Code:75143
Practice Address - Country:US
Practice Address - Phone:903-432-9055
Practice Address - Fax:903-432-9455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008580163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH1000XNursing Service ProvidersRegistered NurseHospiceGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX451743Medicare Oscar/Certification