Provider Demographics
NPI:1134353063
Name:PATHWAYS HOME HEALTH CARE, LLC.
Entity type:Organization
Organization Name:PATHWAYS HOME HEALTH CARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TAUSIF
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-469-7428
Mailing Address - Street 1:27597 SCHOOLCRAFT RD.
Mailing Address - Street 2:SUITE A
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-2217
Mailing Address - Country:US
Mailing Address - Phone:734-469-7428
Mailing Address - Fax:734-437-5533
Practice Address - Street 1:27597 SCHOOLCRAFT RD.
Practice Address - Street 2:SUITE A
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-2217
Practice Address - Country:US
Practice Address - Phone:734-469-7428
Practice Address - Fax:734-437-5533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health