Eagledale Division

LBN: Ability Pathways Inc
Eagledale Division is an health care organization with primary practice located at 5283 Eagle Dale Ave , Eagle Rock CA 90041-1013. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Ability Pathways Inc can be contacted via phone (323) 254-5317, or through Clarke, Michelle via phone (909) 240-7680.

Contact Information

Primary practice address
5283 Eagle Dale Ave Eagle Rock CA 90041-1013
Phone: (323) 254-5317
Fax: (909) 981-0296
Website:
Map and Directions
Authorized official contact:
Name: Clarke, Michelle
Phone: (909) 240-7680

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 960000503 California

Profile Details

NPI number 1033247440
LBN Legal business name Ability Pathways Inc
DBA Doing business as Eagledale Division
Authorized official Clarke, Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Nov 6th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033247440 NPPES
California MEDICAID LTC60297H

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