Provider Demographics
NPI:1285384149
Name:PATHWAY HOME SOLUTIONS, INC.
Entity type:Organization
Organization Name:PATHWAY HOME SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:JENNARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-601-0734
Mailing Address - Street 1:305 SKYLARK WAY
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-6317
Mailing Address - Country:US
Mailing Address - Phone:209-601-0734
Mailing Address - Fax:
Practice Address - Street 1:2 BIRCH CT
Practice Address - Street 2:
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-3321
Practice Address - Country:US
Practice Address - Phone:209-601-0734
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-24
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment