MEDICARE: RENEW PATH STAFFING SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	261Q00000X	Clinic/Center
3	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1689512410
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENEW PATH STAFFING SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	2351 W NORTHWEST HWY STE 1308
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75220-4512
Country	:	US
Telephone Number	:	214-970-9290
Fax Number	:	512-879-3461

Provider Business Practice Location Address
First Line	:	2351 W NORTHWEST HWY STE 1308
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75220-4512
Country	:	US
Telephone Number	:	469-598-3955
Fax Number	:	512-879-3461

Authorized Official
Title or Position	:	OWNER
Name	:	SABRINA FLOWERS
Credential	:
Telephone Number	:	214-970-9290

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	04/15/2026

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