PATHWAY COMMUNITY LIVING LLC NPI 1205792520

NPI Information

  • NPI: 1205792520
  • Provider Name: PATHWAY COMMUNITY LIVING, LLC
  • Classification: Adult Companion - 372600000X
  • Entity Type: Organization
  • Address: 1183 UNIVERSITY DR # 105-1031
    BURLINGTON, NC
    ZIP 27215
  • Phone: (919) 290-4785

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NPI Details

PATHWAY COMMUNITY LIVING, LLC is an adult companion in Burlington, NC. The provider is an individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. PATHWAY COMMUNITY LIVING, LLC NPI is 1205792520. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1183 UNIVERSITY DR # 105-1031
BURLINGTON, NC
ZIP 27215-303
Phone: (919) 290-4785

The provider's authorized official is Tyquan Carr .
The authorized official title is Program Director and has the following contact phone number (336) 524-3543.

The enumeration date for this NPI number is 12/30/2025 and was last updated on 1/2/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1372600000XAdult CompanionYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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