THE PATHWAY HOME RENDEZVOUS
NPI 1194987370
Psychiatric Residential Treatment Facility in Anchorage, AK

Active since June 27, 2008CLIA 02D2346080 · Waiver
4353 RENDEZVOUS CIR, ANCHORAGE, AK 99504(907) 729-5020 Get Directions Write a Review

NPPES record last updated: January 28, 2016. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About The Pathway Home Rendezvous NPPES

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

THE PATHWAY HOME RENDEZVOUS (NPI 1194987370) is a healthcare organization registered as a psychiatric residential treatment facility in Anchorage, Alaska and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through June 22, 2028 and lists Ronald Lee Olson, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1194987370
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address4353 RENDEZVOUS CIRAnchorage, AK 99504-4219
Mailing Address4501 Diplomacy Dr, Attn: Provider EnrollmentAnchorage, AK 99508-5919 · (907) 729-4955
Organization SubpartNo
Authorized OfficialRonald Lee OlsonVp Of Finance · (907) 729-4939
Enumeration DateJune 27, 2008
Last NPPES UpdateJanuary 28, 2016
NPI 1194987370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
License Licensed in AK · 20467
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
4353 RENDEZVOUS CIR, Anchorage, AK 99504

Other Names 1

Doing Business AsThe Pathway Home Rendezvous

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 02D2346080

The Pathway Home · Anchorage, AK
Active · expires Jun 22, 2028
CLIA Number02D2346080
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 23, 2026
Certificate Expiration DateJune 22, 2028
Laboratory DirectorDr. Daniel J. Hartman
Laboratory Phone(907) 729-1230
Laboratory LocationThe Pathway Home4000 San Ernesto Ave, Anchorage, AK 99508
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
4353 RENDEZVOUS CIR
ANCHORAGE, AK 99504
Nurse's Aide
4353 RENDEZVOUS CIR
ANCHORAGE, AK 99504
Behavior Technician
4353 RENDEZVOUS CIR
ANCHORAGE, AK 99504
Community/Behavioral Health
4353 RENDEZVOUS CIR
ANCHORAGE, AK 99504

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 Southcentral Foundation's NPI number?

The NPI number for Southcentral Foundation is 1194987370. It was assigned to this organization in the NPPES registry on June 27, 2008. The provider is doing business as The Pathway Home Rendezvous.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 4353 Rendezvous Cir, Anchorage, AK 99504. The listed phone number is (907) 729-5020.

What is Southcentral Foundation's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Does Southcentral Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2346080) is associated with this NPI, valid through June 22, 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 Southcentral Foundation was last updated on January 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.