PATHWAY SERVICES UNLIMITED INC
NPI 1376717769
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jacksonville, IL

Q: What is Pathway Services Unlimited Inc's NPI number?

The NPI number for Pathway Services Unlimited Inc is 1376717769. It was assigned to this organization in the NPPES registry on April 16, 2008.

Q: What is Pathway Services Unlimited Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since April 16, 2008CLIA 14D2199490 · Waiver

1905 W MORTON AVE, JACKSONVILLE, IL 62650(217) 479-2300(217) 479-2305 Get Directions Write a Review

NPPES record last updated: March 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pathway Services Unlimited Inc NPPES

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

PATHWAY SERVICES UNLIMITED INC (NPI 1376717769) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Jacksonville, Illinois and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through November 8, 2026 and lists Stephen R Brundage, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1376717769

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NamePATHWAY SERVICES UNLIMITED INC

Location Address1905 W MORTON AVEJacksonville, IL 62650-2620

Mailing Address1905 W Morton AveJacksonville, IL 62650-2620 · (217) 479-2300 · Fax (217) 479-2305

Phone(217) 479-2300

Fax(217) 479-2305

Organization SubpartNo

Authorized OfficialStephen R BrundageExecutive Director · (217) 479-2300

Enumeration DateApril 16, 2008

Last NPPES UpdateMarch 11, 2016

✔ NPI 1376717769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

License✔ Licensed in IL · 91S144

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X · License 91S144 (IL)

1905 W MORTON AVE, Jacksonville, IL 62650

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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 14D2199490

Pathway Services Unlimited Inc · Jacksonville, IL

Active · expires Nov 8, 2026

CLIA Number14D2199490

Laboratory TypeCila

Certificate Effective DateNovember 9, 2024

Certificate Expiration DateNovember 8, 2026

Laboratory DirectorAngela M. Fanning

Laboratory Phone(217) 479-2300

Laboratory LocationPathway Services Unlimited Inc1905 W Morton, Jacksonville, IL 62650

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

KENDRA HALL

Behavior Analyst

1905 W MORTON AVE
JACKSONVILLE, IL 62650

Morgan County (217) 479-2300

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 Pathway Services Unlimited Inc's NPI number?

The NPI number for Pathway Services Unlimited Inc is 1376717769. It was assigned to this organization in the NPPES registry on April 16, 2008.

Where is Pathway Services Unlimited Inc located?

Pathway Services Unlimited Inc is located at 1905 W Morton Ave, Jacksonville, IL 62650. The listed phone number is (217) 479-2300.

What is Pathway Services Unlimited Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Does Pathway Services Unlimited Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2199490) is associated with this NPI, valid through November 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pathway Services Unlimited Inc was last updated on March 11, 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.