PATHWAYS ASSISTED LIVING & MEMORY CARE, LLC
NPI 1922472661
Assisted Living Facility in Goodyear, AZ

Active since November 18, 2015
4211 N PEBBLE CREEK PKWY, BLDG 5, GOODYEAR, AZ 85395(602) 633-2300(623) 594-9164 Get Directions Write a Review

NPPES record last updated: November 18, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility

About PATHWAYS ASSISTED LIVING & MEMORY CARE, LLC

This page provides the complete NPI Profile along with additional information for Pathways Assisted Living & Memory Care, Llc, a provider established in Goodyear, Arizona operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1922472661 assigned on November 2015. The practitioner's primary taxonomy code is 310400000X with license number AL9809H (AZ). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is John Stiteler (Owner/manager)

NPI
1922472661 Verify this NPI
Provider Name
PATHWAYS ASSISTED LIVING & MEMORY CARE, LLC
Entity Type
Organization
Location Address
4211 N PEBBLE CREEK PKWY BLDG 5 GOODYEAR, AZ 85395
Location Phone
(602) 633-2300
Location Fax
(623) 594-9164
Mailing Address
4211 N PEBBLE CREEK PKWY BLDG 5 GOODYEAR, AZ 85395
Mailing Phone
(602) 633-2300
Mailing Fax
(623) 594-9164
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-18-2015
Last Update Date
11-18-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
AL9809H
License State
AZ
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN STITELER

Authorized Official Title
OWNER/MANAGER
Authorized Official Phone
(602) 944-1177

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
064713MEDICAID (05)AZ 

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Assisted Living Facility
4211 N PEBBLE CREEK PKWY, BLDG 1
GOODYEAR, AZ 85395
Assisted Living Facility
4211 N PEBBLE CREEK PKWY, BLDG 6
GOODYEAR, AZ 85395

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922472661, enumerated as an "organization" on November 18, 2015.

The provider is located at 4211 N PEBBLE CREEK PKWY BLDG 5 GOODYEAR, AZ 85395 and the phone number is (602) 633-2300.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.