Healthcare Provider Details

I. General information

NPI: 1003753294
Provider Name (Legal Business Name): HEALTHCARE PATHWAYS SUPPORTIVE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9505 REISTERSTOWN RD STE 2SE
OWINGS MILLS MD
21117-4451
US

IV. Provider business mailing address

9505 REISTERSTOWN RD STE 2SE
OWINGS MILLS MD
21117-4451
US

V. Phone/Fax

Practice location:
  • Phone: 443-213-8837
  • Fax: 443-313-6643
Mailing address:
  • Phone: 443-213-8837
  • Fax: 443-313-6643

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 TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. KIESHA TAWANDA BYERS
Title or Position: DIRECTOR/ CEO
Credential: MBA, BSN-RN
Phone: 443-213-8837