MEDICARE: PATHWAY HOME CARE, 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1578420493
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATHWAY HOME CARE, LLC

Provider Business Mailing Address
First Line	:	6212 HAWKINS FARM PL
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63129-6312
Country	:	US
Telephone Number	:	612-735-3898
Fax Number	:

Provider Business Practice Location Address
First Line	:	6212 HAWKINS FARM PL
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63129-6312
Country	:	US
Telephone Number	:	612-735-3898
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MUKTAR EGAL
Credential	:
Telephone Number	:	612-735-3898

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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