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NPI Code Detail

MEDICARE: A PATHWAY HOME

MEDICARE: A PATHWAY HOME
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
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1467385773
Entity Type Code : Organization
Provider Name (Legal Business Name) : A PATHWAY HOME
Provider Business Mailing Address
First Line : 6457 S JACKSON ST
Second Line :
City : CENTENNIAL
State : CO
Zip : 80121-3630
Country : US
Telephone Number : 720-592-8092
Fax Number : 720-528-7722
Provider Business Practice Location Address
First Line : 6457 S JACKSON ST
Second Line :
City : CENTENNIAL
State : CO
Zip : 80121-3630
Country : US
Telephone Number : 720-592-8092
Fax Number : 720-528-7722
Authorized Official
Title or Position : OWNER
Name : MARYJO HONIOTES
Credential :
Telephone Number : 720-592-8092
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “A PATHWAY HOME ” Practice Location

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