CONNIE MAE NPI 1871741082

NPI Information

  • NPI: 1871741082
  • Provider Name: CONNIE MAE
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Other Name: ABILITY PATHWAYS INC.
  • Address: 1890 W. ARROW ROUTE
    UPLAND, CA
    ZIP 91786
  • Phone: (909) 240-7680

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NPI Details

CONNIE MAE is an intermediate care facility mentally retarded in Upland, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. CONNIE MAE NPI is 1871741082. The provider is registered as an organization entity type.
The provider Other Name Is Ability Pathways Inc..

The provider's business location address is:

1890 W. ARROW ROUTE
UPLAND, CA
ZIP 91786
Phone: (909) 240-7680
Fax: (909) 982-2991

The provider's authorized official is Michelle R Clarke .
The authorized official title is President and has the following contact phone number (909) 240-7680.

The enumeration date for this NPI number is 8/29/2008 and was last updated on 8/29/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesPENDINGCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PENDINGMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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