MICHAELS PROJECT INC (NPI# 1871700369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871700369 |
Entity Type | Organization |
Organization Name | MICHAELS PROJECT INC |
Other Organization Name | PATHWAYS 1 ICF DDN |
Practice Address |
1152 Hickory Ave Fairfield CA 94533-7094 |
Practice Telephone | 7074281534 |
Practice Fax Number | 7074280627 |
Mailing Telephone | 7074281534 |
Mailing Fax Number | 7074280627 |
Enumeration Date | 2007-05-16 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MICHELINE CUEVA (LICENSEE) |
Authorized Official Telephone | 7073421770 |
Authorized Official Credential | LVN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | CA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDI-CAL PROVIDER NUMBER | LTC80067G | 01 |
Other Name | Type Code |
---|---|
Pathways 1 ICF DDN | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013125749 | Michaels Project Inc | Nursing Facility/Intermediate Care Facility | 1132 Gulf Dr, Fairfield, CA 94533-7716 | 2007-05-18 |
Street Address |
1152 HICKORY AVE |
City | FAIRFIELD |
State | CA |
Zip Code | 94533-7094 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
Find all providers in zip 94533 |
Taxonomy Code | 313M00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Nursing Facility/Intermediate Care Facility |
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235563701 | Na | Nursing Facility/Intermediate Care Facility | 3385 Greenwich Dr, Fairfield, OH 45014-5322 | 2013-09-02 |
1952687279 | Michael's Project, Inc | Nursing Facility/Intermediate Care Facility | 3038 Pecan Cir, Fairfield, CA 94533-7013 | 2011-11-01 |
1013125749 | Michaels Project Inc | Nursing Facility/Intermediate Care Facility | 1132 Gulf Dr, Fairfield, CA 94533-7716 | 2007-05-18 |
1780776252 | Parkview Care Center Inc | Nursing Facility/Intermediate Care Facility | 2237 Highway 34, Fairfield, IA 52556-8560 | 2006-09-29 |
1871690289 | Jefferson County Hospital | Nursing Facility/Intermediate Care Facility | 400 Highland St, Fairfield, IA 52556-3713 | 2006-09-20 |
1821186479 | Fairfield Memorial Hospital | Nursing Facility/Intermediate Care Facility | 303 Nw 11th St, Fairfield, IL 62837-1203 | 2006-10-10 |
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1194296566 | Magnifique Congregate Living Inc | Nursing Facility/Intermediate Care Facility | 1827 W Avenue K12, Lancaster, CA 93534-6235 | 2018-12-11 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.