Provider Demographics
NPI:1184488918
Name:CLEAR PATH HOME CARE
Entity type:Organization
Organization Name:CLEAR PATH HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:BILLINGSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-212-9186
Mailing Address - Street 1:1204 W UNIVERSITY DR STE 150
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-1771
Mailing Address - Country:US
Mailing Address - Phone:254-212-9186
Mailing Address - Fax:
Practice Address - Street 1:1531 RIVERSIDE AVE
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-4387
Practice Address - Country:US
Practice Address - Phone:970-237-4762
Practice Address - Fax:970-237-4762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care