ABILITY PATHWAYS INC NPI 1033247440

NPI Information

NPI: 1033247440
Provider Name: ABILITY PATHWAYS INC

Other Name: EAGLEDALE DIVISION

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
5283 EAGLE DALE AVE
EAGLE ROCK, CA
ZIP 90041
Phone: (323) 254-5317
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ABILITY PATHWAYS INC is an intermediate care facility mentally retarded in Eagle Rock, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. ABILITY PATHWAYS INC NPI is 1033247440. The provider is registered as an organization entity type.
The provider Other Name Is Eagledale Division.

The provider's business location address is:

5283 EAGLE DALE AVE
EAGLE ROCK, CA
ZIP 90041-013
Phone: (323) 254-5317
Fax: (909) 981-0296

The provider's authorized official is Michelle Clarke .
The authorized official title is President and has the following contact phone number (909) 240-7680.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 11/6/2017.

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
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		960000503	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LTC60297H	MEDICAID	CALIFORNIA

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: 5/5/2024

NPI Synchronization or Removal

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