Provider Demographics
NPI:1457616062
Name:PATHWAY TO HOME CARE SERVICES INC
Entity Type:Organization
Organization Name:PATHWAY TO HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:F
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-710-1563
Mailing Address - Street 1:6148 LEE HIGHWAY
Mailing Address - Street 2:SUITE 106B
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421
Mailing Address - Country:US
Mailing Address - Phone:423-710-1563
Mailing Address - Fax:423-710-2347
Practice Address - Street 1:6148 LEE HWY
Practice Address - Street 2:SUITE 106B
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-2994
Practice Address - Country:US
Practice Address - Phone:423-710-1563
Practice Address - Fax:423-710-2347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNI00000001117253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care