- Enrollment id
- O20131219001800
- Enrollment state
- MA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1740529668
- Multiple npi flag
- N
- Ccn
- 227569
- Associate id
- 8729215744
- Organization name
- PATHWAYS HEALTHCARE LLC
- Doing business as name
- PATHWAYS HEALTHCARE
- Incorporation date
- 2012-12-31
- Incorporation state
- MA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 101 STATION DR
- Address line 2
- STE 240
- City
- WESTWOOD
- State
- MA
- Zip code
- 020902336
- Practice location type
- HHA BRANCH