Healthcare Provider Details
I. General information
NPI: 1548198815
Provider Name (Legal Business Name): PATHWAYS TO THE HEART LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/08/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 W SILVER SPRING DR STE K200
GLENDALE WI
53217-5052
US
IV. Provider business mailing address
500 W SILVER SPRING DR STE K200
GLENDALE WI
53217-5052
US
V. Phone/Fax
- Phone: 414-722-3905
- Fax:
- Phone: 414-722-3905
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376K00000X |
| Taxonomy | Nurse's Aide |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 372600000X |
| Taxonomy | Adult Companion |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRANDY
L
LESTER
Title or Position: OWNER
Credential: RN
Phone: 414-807-9634