Provider Demographics
NPI:1477155398
Name:INDEPENDENT PATHWAYS, LLC
Entity type:Organization
Organization Name:INDEPENDENT PATHWAYS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOO
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:CHRISTIAN
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-871-8127
Mailing Address - Street 1:930 AMHERST RD NE
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-4568
Mailing Address - Country:US
Mailing Address - Phone:330-809-0773
Mailing Address - Fax:330-809-0774
Practice Address - Street 1:930 AMHERST RD NE
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-4568
Practice Address - Country:US
Practice Address - Phone:330-809-0773
Practice Address - Fax:330-809-0774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-16
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities