Healthcare Provider Details

I. General information

NPI: 1871411033
Provider Name (Legal Business Name): KENKA PATHWAYS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

473 E CARNEGIE DR 200
SAN BERNARDINO CA
92408
US

IV. Provider business mailing address

15918 ECCLES ST
NORTH HILLS CA
91343-6321
US

V. Phone/Fax

Practice location:
  • Phone: 661-234-0447
  • Fax:
Mailing address:
  • Phone: 661-234-0447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. DJANAI THOMAS
Title or Position: OWNER
Credential:
Phone: 661-234-0447