PATHWAYS YOUTH SERVICES LLC (NPI# 1053742049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053742049 |
| Entity Type | Organization |
| Organization Name | PATHWAYS YOUTH SERVICES LLC |
| Other Organization Name | PATHWAYS YOUTH SERVICES III |
| Practice Address |
1010 Marions Trl Halifax VA 24558-3126 |
| Practice Telephone | 4344765059 |
| Practice Fax Number | 4344765060 |
| Mailing Telephone | 4344765059 |
| Mailing Fax Number | 4344765060 |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |
| Authorized Official Name | DORIS CHISM (OWNER) |
| Authorized Official Telephone | 4344765059 |
| Is Organization Subpart | Y |
| Parent Organization Name | PATHWAYS YOUTH SERVICES III |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 180214001 | VA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Pathways Youth Services III | Doing Business As Name - Organization |
| Street Address |
1010 MARIONS TRL |
| City | HALIFAX |
| State | VA |
| Zip Code | 24558-3126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002279 | Life Services &transportation Inc. | Non-emergency Medical Transport (VAN) | 2075 Mountain Road, Halifax, VA 24558 | 2020-10-27 |
| 1154546869 | Richard Benjamin Bradley Jr. | Dentist | 187 South Main St, Halifax, VA 24558 | 2007-04-16 |
| 1336224815 | Herman Lee Thomas Jr. | Registered Nurse | 2129 Oak Level Rd, Halifax, VA 24558 | 2006-10-25 |
| 1235175795 | Home Care Alliance of Virginia Inc | Durable Medical Equipment & Medical Supplies | 5037 Halifax Rd, Suite A, Halifax, VA 24558 | 2006-06-22 |
| 1326089095 | Francis Barnes Mitchell | Family Medicine | 235 N Main St, Halifax, VA 24558 | 2006-06-10 |
| 1629029483 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 1030 Cowford Road, Halifax, VA 24558 | 2006-05-15 |
| 1073786356 | Halifax Clinic Inc | Family Medicine | 235 N Main St, Halifax, VA 24558 | 2008-04-08 |
| 1992824031 | Halifax County Department of Social Services | Public Health or Welfare | 1030 Cowford Road, Mary Bethune Office Complex, Halifax, VA 24558 | 2007-03-28 |
| 1144388166 | Marlise Blanks Crowe | Pharmacist | 4121 Halifax Road, Halifax, VA 24558 | 2006-12-04 |
| 1043420995 | Beth Ann Gillis | Counselor | 585 Buena Vista Dr, Halifax, VA 24558-2155 | 2007-05-22 |
| Find all providers in zip 24558 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487901 | River City Residential Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 2106 Hungary Rd, Richmond, VA 23228-2208 | 2020-04-27 |
| 1376178079 | Scott's Rehabilitative House | Community Based Residential Treatment Facility, Mental Illness | 104 Country Club Rd, Franklin, VA 23851-2983 | 2020-03-03 |
| 1386298354 | Quality Care Counseling Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 18511 Rollingside Dr, South Chesterfield, VA 23834-1699 | 2019-07-29 |
| 1730690694 | Families United, LLC | Community Based Residential Treatment Facility, Mental Illness | 1801 Hayward Ave, Chesapeake, VA 23320-2231 | 2017-10-18 |
| 1427419035 | Powerhouse Unlimited | Community Based Residential Treatment Facility, Mental Illness | 418 N 25th St, Apt 260, Richmond, VA 23223-7564 | 2016-03-09 |
| 1700266277 | Jan's Residential Homes | Community Based Residential Treatment Facility, Mental Illness | 307 N High St, Blackstone, VA 23824-1421 | 2015-05-31 |
| 1225426083 | Divine Health Support LLC | Community Based Residential Treatment Facility, Mental Illness | 2050 Hanson Ln, Woodbridge, VA 22191-4545 | 2015-01-02 |
| 1063838126 | New Lifestyles, Inc | Community Based Residential Treatment Facility, Mental Illness | 230 W Boscawen St, Winchester, VA 22601-4118 | 2014-03-13 |
| 1679905269 | Rest Haven LLC | Community Based Residential Treatment Facility, Mental Illness | 1005 Bland St, Norfolk, VA 23513-3386 | 2013-08-06 |
| 1447695150 | Andrea Denise Bond | Community Based Residential Treatment Facility, Mental Illness | 2524 Lansing Ave, Portsmouth, VA 23704-6426 | 2013-05-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.