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ETERNAL PATHWAY LLC
NPI 1003483447
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Phoenix, AZ

Active since June 04, 2021
11225 N 28TH DR STE D104, PHOENIX, AZ 85029(602) 607-5422 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eternal Pathway Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETERNAL PATHWAY LLC (NPI 1003483447) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Phoenix, Arizona and active in the NPI registry since June 2021. The organization lists Linette Wilson, Owner/ Manager, as its authorized official.

NPPES Registry Identity

NPI1003483447
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameETERNAL PATHWAY LLC
Location Address11225 N 28TH DR STE D104Phoenix, AZ 85029-5609
Mailing Address11225 N 28th Dr Ste D104Phoenix, AZ 85029-5609 · (602) 607-5422
Phone(602) 607-5422
Organization SubpartNo
Authorized OfficialLinette WilsonOwner/ Manager · (305) 731-6917
Enumeration DateJune 4, 2021
NPPES CertifiedJune 4, 2021
✔ NPI 1003483447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
11225 N 28TH DR STE D104, Phoenix, AZ 85029
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eternal Pathway LLC's NPI number?

The NPI number for Eternal Pathway LLC is 1003483447. It was assigned to this organization in the NPPES registry on June 4, 2021.

Where is Eternal Pathway LLC located?

Eternal Pathway LLC is located at 11225 N 28th Dr Ste D104, Phoenix, AZ 85029. The listed phone number is (602) 607-5422.

What is Eternal Pathway LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Eternal Pathway LLC was last updated on June 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.