Healthcare Provider Details

I. General information

NPI: 1497619720
Provider Name (Legal Business Name): THE SHEPHERD'S PATHWAY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2432 NE 7TH ST APT 5
OCALA FL
34470-6288
US

IV. Provider business mailing address

603 E FORT KING ST
OCALA FL
34471-2235
US

V. Phone/Fax

Practice location:
  • Phone: 352-234-3443
  • Fax:
Mailing address:
  • Phone: 352-234-3443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: BRIANNA HAWKINS
Title or Position: OWNER
Credential:
Phone: 352-234-3443