Healthcare Provider Details

I. General information

NPI: 1912840570
Provider Name (Legal Business Name): NEW PATH SUPPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2058 WILBERT DR
JENNINGS MO
63136-4032
US

IV. Provider business mailing address

1742 BOARDWALK AVE
FLORISSANT MO
63031-1507
US

V. Phone/Fax

Practice location:
  • Phone: 314-723-0859
  • Fax:
Mailing address:
  • Phone: 314-723-0859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ZERLINA DENISE BROWN
Title or Position: OWNER
Credential:
Phone: 314-723-0859