MEDICARE: CLEAR PATH HOME CARE AGENCY 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	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1669324406
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEAR PATH HOME CARE AGENCY LLC

Provider Business Mailing Address
First Line	:	1087 CREATWOOD CIR SE
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-8212
Country	:	US
Telephone Number	:	478-442-1281
Fax Number	:

Provider Business Practice Location Address
First Line	:	1087 CREATWOOD CIR SE
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-8212
Country	:	US
Telephone Number	:	478-442-1281
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DURRELL SCOTT
Credential	:
Telephone Number	:	478-442-1281

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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