PATHWAYS ASSISTED LIVING AND MEMORY CARE, LLC
NPI 1164806105
Assisted Living Facility in Goodyear, AZ
About Pathways Assisted Living And Memory Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATHWAYS ASSISTED LIVING AND MEMORY CARE, LLC (NPI 1164806105) is a healthcare organization registered as an assisted living facility in Goodyear, Arizona and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through March 19, 2028 and lists John Stiteler, Owner/manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 03D2075038
Pathways Assisted Living & Memory Care · Goodyear, AZFrequently 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 Pathways Assisted Living And Memory Care, LLC's NPI number?
The NPI number for Pathways Assisted Living And Memory Care, LLC is 1164806105. It was assigned to this organization in the NPPES registry on July 18, 2015.
Where is Pathways Assisted Living And Memory Care, LLC located?
Pathways Assisted Living And Memory Care, LLC is located at 4211 N. Pebble Creek Pkwy Bldg 2, Goodyear, AZ 85395. The listed phone number is (602) 633-2300.
What is Pathways Assisted Living And Memory Care, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Pathways Assisted Living And Memory Care, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2075038) is associated with this NPI, valid through March 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Pathways Assisted Living And Memory Care, LLC was last updated on July 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Pathways Assisted Living And Memory Care, Llc · NPI 1164806105
Assisted Living Facility organization in Goodyear, Arizona. Organization record, active in the CMS NPPES registry since July 18, 2015.
## Identity
- **NPI:** 1164806105 (Entity type: Organization)
- **Enumerated:** July 18, 2015
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** John Stiteler, OWNER/MANAGER
## Practice location
- **Address:** 4211 N. PEBBLE CREEK PKWY BLDG 2, Goodyear, AZ 85395
- **Phone:** (602) 633-2300
## Record status
- **NPPES last updated:** July 18, 2015
- **Other identifiers:** Medicaid 024268 (AZ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164806105) · Data from the CMS NPPES public registry.