Healthcare Provider Details

I. General information

NPI: 1770391229
Provider Name (Legal Business Name): HEALING PATHWAYS WELLNESS GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2024
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16200 EUCLID AVE STE 210
CLEVELAND OH
44112-1607
US

IV. Provider business mailing address

4876 ANNETTE PL
WARRENSVILLE HEIGHTS OH
44128-4722
US

V. Phone/Fax

Practice location:
  • Phone: 216-769-1329
  • Fax:
Mailing address:
  • Phone: 216-769-1329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 5
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRITTNEY B CHURCH
Title or Position: OWNER
Credential:
Phone: 216-769-1329