Provider Demographics
NPI:1134723091
Name:PATHWAY INTO THE COMMUNITY
Entity type:Organization
Organization Name:PATHWAY INTO THE COMMUNITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAYTIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-490-8389
Mailing Address - Street 1:1451 CHEWS LANDING RD STE 208
Mailing Address - Street 2:
Mailing Address - City:CLEMENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08021-2766
Mailing Address - Country:US
Mailing Address - Phone:856-352-0411
Mailing Address - Fax:
Practice Address - Street 1:1451 CHEWS LANDING RD STE 208
Practice Address - Street 2:
Practice Address - City:CLEMENTON
Practice Address - State:NJ
Practice Address - Zip Code:08021-2766
Practice Address - Country:US
Practice Address - Phone:856-352-0411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-22
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No253Z00000XAgenciesIn Home Supportive Care
No332U00000XSuppliersHome Delivered Meals
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker
No385H00000XRespite Care FacilityRespite Care
No174200000XOther Service ProvidersMeals
No251X00000XAgenciesSupports Brokerage
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health