PATHWAYS RESIDENTIAL AND SUPPORT SERVICES
NPI 1376906651
Community Based Residential Treatment Facility, Mental Illness in Fort Worth, TX

NPI Status: Active since April 03, 2016

Contact Information

2528 COLDSTREAM DR
FORT WORTH, TX
ZIP 76123
Phone: (817) 882-6237
Fax: (817) 882-6238

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About PATHWAYS RESIDENTIAL AND SUPPORT SERVICES

This page provides the complete NPI Profile along with additional information for Pathways Residential And Support Services, a provider established in Fort Worth, Texas operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1376906651 assigned on April 2016. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mrs. Jeanette Wade (Owner/director)

NPI
1376906651
Provider Name
PATHWAYS RESIDENTIAL AND SUPPORT SERVICES
Entity Type
Organization
Location Address
2528 COLDSTREAM DR FORT WORTH, TX 76123
Location Phone
(817) 882-6237
Location Fax
(817) 882-6238
Mailing Address
2528 COLDSTREAM DR FORT WORTH, TX 76123
Mailing Phone
(817) 882-6237
Mailing Fax
(817) 882-6238
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-03-2016
Last Update Date
04-03-2016
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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

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1320700000XResidential Treatment Facilities

Residential Treatment Facility, Physical Disabilities

 

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

MRS. JEANETTE WADE

Authorized Official Title
OWNER/DIRECTOR
Authorized Official Phone
(817) 706-5360

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376906651
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2314618012610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 1 + 8 + 0 + 1 + 2 + 6 + 1 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1376906651 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376906651, enumerated in the NPI registry as an "organization" on April 03, 2016

The provider is located at 2528 Coldstream Dr Fort Worth, Tx 76123 and the phone number is (817) 882-6237

This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

This NPI record was last updated on April 03, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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