MEDICARE: COMMUNITY PATHWAYS 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1740131622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY PATHWAYS SERVICES LLC

Provider Business Mailing Address
First Line	:	17340 N WINGTIP WAY
Second Line	:
City	:	NAMPA
State	:	ID
Zip	:	83687-4832
Country	:	US
Telephone Number	:	208-371-5531
Fax Number	:

Provider Business Practice Location Address
First Line	:	17340 N WINGTIP WAY
Second Line	:
City	:	NAMPA
State	:	ID
Zip	:	83687-4832
Country	:	US
Telephone Number	:	208-371-5531
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHANICE MWAMBA
Credential	:
Telephone Number	:	208-371-5531

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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