Healthcare Provider Details

I. General information

NPI: 1003600354
Provider Name (Legal Business Name): PATHWAY NEW BEGINNING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 E MAIN ST STE 107
COLUMBUS OH
43213-2580
US

IV. Provider business mailing address

5300 E MAIN ST STE 107
COLUMBUS OH
43213-2580
US

V. Phone/Fax

Practice location:
  • Phone: 614-327-4991
  • Fax:
Mailing address:
  • Phone: 614-327-4991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: SELEMON ABREHA
Title or Position: OWNER
Credential:
Phone: 614-327-4991