Healthcare Provider Details

I. General information

NPI: 1235733734
Provider Name (Legal Business Name): DEVELOPING PATHWAYS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2020
Last Update Date: 11/30/2020
Certification Date: 11/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9328 ASHCROFT LN
TWINSBURG OH
44087-2536
US

IV. Provider business mailing address

1754 HILLVIEW RD
CLEVELAND OH
44112-1226
US

V. Phone/Fax

Practice location:
  • Phone: 216-258-5197
  • Fax:
Mailing address:
  • Phone: 216-856-0068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DONALD THOMAS JR.
Title or Position: CHIEF EXECUTIVE OFFICER, CEO
Credential:
Phone: 216-856-0068