Healthcare Provider Details

I. General information

NPI: 1275014235
Provider Name (Legal Business Name): PATHWAYS HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2018
Last Update Date: 02/06/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 ORCHARD VIEW DR STE 3
LONDONDERRY NH
03053-3376
US

IV. Provider business mailing address

101 STATION DR STE 240
WESTWOOD MA
02090-2336
US

V. Phone/Fax

Practice location:
  • Phone: 9-939-1855
  • Fax: 855-939-1855
Mailing address:
  • Phone: 617-687-0522
  • Fax: 617-687-0522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SEAN TALBOT
Title or Position: COO
Credential:
Phone: 617-481-9077