Provider Demographics
NPI:1700662186
Name:HEALING PATHWAYS HOME CARE LLC
Entity Type:Organization
Organization Name:HEALING PATHWAYS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAQUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-885-7421
Mailing Address - Street 1:101 AMESBURY ST STE 104
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01840-1310
Mailing Address - Country:US
Mailing Address - Phone:978-609-0654
Mailing Address - Fax:
Practice Address - Street 1:101 AMESBURY ST STE 104
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840-1310
Practice Address - Country:US
Practice Address - Phone:978-609-0654
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-01
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health