FRESHPATH HEALTHCARE SERVICES
NPI 1053689257
Assisted Living Facility in North Hollywood, CA

Active since December 02, 2011
11311 MORRISON ST APT 207, NORTH HOLLYWOOD, CA 91601(818) 485-9182 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Freshpath Healthcare Services NPPES

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

FRESHPATH HEALTHCARE SERVICES (NPI 1053689257) is a healthcare organization registered as an assisted living facility in North Hollywood, California and active in the NPI registry since December 2011. The organization lists Detro Wilkins, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1053689257
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFRESHPATH HEALTHCARE SERVICES
Location Address11311 MORRISON ST APT 207North Hollywood, CA 91601-5366
Mailing Address231 Sierra Dr Se Suite 4Albuquerque, NM 87108 · (505) 508-4605 · Fax (505) 508-4605
Organization SubpartYesParent: Freshpath
Authorized OfficialDetro WilkinsChief Executive Officer · (818) 485-9182
Enumeration DateDecember 2, 2011
Last NPPES UpdateFebruary 21, 2023
NPPES CertifiedFebruary 21, 2023
NPI 1053689257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Also ListedHospice Care, Community BasedTaxonomy 251G00000X
11311 MORRISON ST APT 207, North Hollywood, CA 91601

Other Names 2

Doing Business AsFreshpath Healthcare Services
Doing Business AsFpm Colt C

Other Identifiers 1

Medicaid221-29774NM

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 Freshpath Healthcare Services's NPI number?

The NPI number for Freshpath Healthcare Services is 1053689257. It was assigned to this organization in the NPPES registry on December 2, 2011. The provider is doing business as FPM CoLT C.

Where is Freshpath Healthcare Services located?

Freshpath Healthcare Services is located at 11311 Morrison St Apt 207, North Hollywood, CA 91601. The listed phone number is (818) 485-9182.

What is Freshpath Healthcare Services's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Freshpath Healthcare Services was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.