Healthcare Provider Details

I. General information

NPI: 1568379527
Provider Name (Legal Business Name): PATHWAYS TO CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5241 LAMM RD
WILSON NC
27893-9651
US

IV. Provider business mailing address

5241 LAMM RD
WILSON NC
27893-9651
US

V. Phone/Fax

Practice location:
  • Phone: 252-450-9008
  • Fax:
Mailing address:
  • Phone: 252-450-9008
  • 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: SHANICE RICHARDSON
Title or Position: DIRECTOR/OWNER
Credential:
Phone: 252-450-9008