MEDICARE: PATHWAYS SERVICE FACILITATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1265398838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATHWAYS SERVICE FACILITATION LLC

Provider Business Mailing Address
First Line	:	3036 JIMMY MOBLEY WAY
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-6195
Country	:	US
Telephone Number	:	757-581-6566
Fax Number	:

Provider Business Practice Location Address
First Line	:	3036 JIMMY MOBLEY WAY
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-6195
Country	:	US
Telephone Number	:	757-581-6566
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ROBYN BAILEY
Credential	:
Telephone Number	:	757-581-6566

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	12/29/2025

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