MEDICARE: CONNECT PATH SUPPORT SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1366301665
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONNECT PATH SUPPORT SERVICES, LLC

Provider Business Mailing Address
First Line	:	2003 MORRIS AVE STE 1A
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-6081
Country	:	US
Telephone Number	:	862-224-0892
Fax Number	:

Provider Business Practice Location Address
First Line	:	2003 MORRIS AVE
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-7173
Country	:	US
Telephone Number	:	908-219-7998
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TAGOUIA T DAVIS
Credential	:
Telephone Number	:	908-219-7998

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	03/17/2026

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