CONNIE MAE (NPI# 1871741082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871741082 |
| Entity Type | Organization |
| Organization Name | CONNIE MAE |
| Other Organization Name | ABILITY PATHWAYS INC. |
| Practice Address |
1890 W. Arrow Route Upland CA 91786 |
| Mailing Address |
1042 N. Mountain Ave B-447 Upland CA 91786 |
| Practice Telephone | 9092407680 |
| Practice Fax Number | 9099822991 |
| Mailing Telephone | 9092407680 |
| Mailing Fax Number | 9099822991 |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2008-08-29 |
| Authorized Official Name | MS. MICHELLE R CLARKE (PRESIDENT) |
| Authorized Official Telephone | 9092407680 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | PENDING | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PENDING | 05 |
| Other Name | Type Code |
|---|---|
| Ability Pathways Inc. | Other Name - Individual/Organization |
| Street Address |
1890 W. ARROW ROUTE |
| City | UPLAND |
| State | CA |
| Zip Code | 91786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538514807 | Monte Vista Child Care Center | Intermediate Care Facility, Mentally Retarded | 1303 N Erin Ave, Upland, CA 91786-2661 | 2016-04-25 |
| 1033247010 | Monte Vista Child Care Center Inc | Intermediate Care Facility, Mentally Retarded | 862 W 23rd St, Upland, CA 91784-1214 | 2007-03-01 |
| 1942338926 | Monte Vista Child Care Center Inc | Intermediate Care Facility, Mentally Retarded | 1291 Loma Sola Ave, Upland, CA 91786-2846 | 2007-03-01 |
| 1417085499 | Monte Vista Child Care Center Inc | Intermediate Care Facility, Mentally Retarded | 1463 N Albright Ave, Upland, CA 91786-2725 | 2007-03-01 |
| 1043348238 | Monte Vista Child Care Center Inc | Intermediate Care Facility, Mentally Retarded | 2489 Mesa Terrace Ave, Upland, CA 91786 | 2007-03-01 |
| 1295863686 | Monte Vista Child Care Center Inc | Intermediate Care Facility, Mentally Retarded | 130 Genoa Way, Upland, CA 91786-6151 | 2007-02-28 |
| 1912035312 | Monte Vista Child Care Center Inc | Intermediate Care Facility, Mentally Retarded | 315 Yorktown Ct, Upland, CA 91784-1640 | 2007-02-28 |
| 1558497404 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 1447 E 15th St, Upland, CA 91786-2436 | 2007-02-26 |
| 1205472198 | Robinson House | Intermediate Care Facility, Mentally Retarded | 904 W 9th St, Upland, CA 91786-4576 | 2019-11-26 |
| 1083167548 | Ability Pathways Incorporated | Intermediate Care Facility, Mentally Retarded | 1042 N Mountain Ave, B-447, Upland, CA 91786-3695 | 2016-08-01 |
| Find all providers in UPLAND | ||||
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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.