MEDICARE: ABILITY PATHWAYS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	315P00000X	Intellectual Disabilities Intermediate Care Facility
2	315P00000X	Intellectual Disabilities Intermediate Care Facility	96009192	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447388756
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABILITY PATHWAYS INC

Provider Business Mailing Address
First Line	:	1042 N MOUNTAIN AVE
Second Line	:	B-447
City	:	UPLAND
State	:	CA
Zip	:	91786-3695
Country	:	US
Telephone Number	:	909-982-2991
Fax Number	:	909-981-0296

Provider Business Practice Location Address
First Line	:	8137 TROOST AVE
Second Line	:
City	:	N HOLLYWOOD
State	:	CA
Zip	:	91605-1627
Country	:	US
Telephone Number	:	818-767-7759
Fax Number	:	909-981-0296

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. MICHELLE CLARKE
Credential	:
Telephone Number	:	909-240-7680

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	11/06/2017

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Directions to “ABILITY PATHWAYS INC ” Practice Location

Language	Start Address	Practice Location

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