MICHAELS PROJECT INC


Address: 1152 Hickory Ave, Fairfield, CA 94533-7094
Phone: 7074281534

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility CA Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDI-CAL PROVIDER NUMBER LTC80067G 01

Other Provider/Organization Names

Other Name Type Code
Pathways 1 ICF DDN Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1013125749 Michaels Project Inc Nursing Facility/Intermediate Care Facility 1132 Gulf Dr, Fairfield, CA 94533-7716 2007-05-18

Office Location

Street Address 1152 HICKORY AVE
City FAIRFIELD
State CA
Zip Code 94533-7094

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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1831722255 Laurel House Icf Nursing Facility/Intermediate Care Facility 226 N Laurel Ave, Upland, CA 91786-5936 2020-02-13
1588295224 New Start Clhf's Independent Training Centers Nursing Facility/Intermediate Care Facility 19640 Bermuda St, Chatsworth, CA 91311-1908 2020-01-31
1467092015 New Start Clhf's Independent Training Centers Nursing Facility/Intermediate Care Facility 10318 Laramie Ave, Chatsworth, CA 91311-2530 2020-01-12
1265070064 Janet's Enterprise, Inc Nursing Facility/Intermediate Care Facility 904 W 9th St Ste B1, Upland, CA 91786-4576 2019-12-12
1427692128 Cg Estepa Care Home 2, Inc. Nursing Facility/Intermediate Care Facility 12800 Thornberg Way, Rancho Cordova, CA 95742-7812 2019-11-05
1669022547 Continuum Living, LLC Nursing Facility/Intermediate Care Facility 24343 Pawnee Trl, Moreno Valley, CA 92557-5033 2019-09-12
1194296566 Magnifique Congregate Living Inc Nursing Facility/Intermediate Care Facility 1827 W Avenue K12, Lancaster, CA 93534-6235 2018-12-11
1063994408 Sinai Congregate Living Facility Nursing Facility/Intermediate Care Facility 1759 Windermere Drive, Lancaster, CA 93534-5319 2018-09-01
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Competitor

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City FAIRFIELD
Zip Code 94533

Improve Information

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Dataset Information

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.

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