MEDICARE: PATHWAY HOUSING SERVICES

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1487501987
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATHWAY HOUSING SERVICES

Provider Business Mailing Address
First Line	:	13804 ADAN AVE
Second Line	:
City	:	ROSEMOUNT
State	:	MN
Zip	:	55068-3171
Country	:	US
Telephone Number	:	612-472-5112
Fax Number	:

Provider Business Practice Location Address
First Line	:	13804 ADAN AVE
Second Line	:
City	:	ROSEMOUNT
State	:	MN
Zip	:	55068-3171
Country	:	US
Telephone Number	:	612-472-5112
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ABDULLKARIM ROBE
Credential	:
Telephone Number	:	612-472-5112

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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Directions to “PATHWAY HOUSING SERVICES ” Practice Location

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