NPIMap

Organization Active NPI

Michaels Project Inc

Doing business as Pathways 2 ICF DDN

  • Nursing Facility/Intermediate Care Facility
  • Fairfield, CA
National Provider Identifier
1013125749
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
MICHAELS PROJECT INC
Doing business as
Pathways 2 ICF DDN
Practice address
1132 Gulf Dr
Fairfield, CA 94533-7716
Phone
(707) 422-3061
Fax
(707) 422-3062
NPI assigned
May 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Micheline Cueva, LVN
Title
Licensee
Phone
(707) 342-1770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X CA Primary

Addresses

Primary practice location

1132 Gulf Dr
Fairfield, CA 94533-7716

Mailing address

1132 Gulf Dr
Fairfield, CA 94533-7716
Phone (707) 422-3061

Other identifiers 1

IdentifierTypeStateIssuer
LTC80163GOtherCAMEDI-CAL PROVIDER NUMBER

Other names 1

  • Pathways 2 ICF DDN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Michaels Project Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013125749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 GULF DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945337716",
            "telephone_number": "707-422-3061",
            "fax_number": "707-422-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 GULF DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945337716",
            "telephone_number": "707-422-3061",
            "fax_number": "707-422-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAELS PROJECT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUEVA",
        "authorized_official_first_name": "MICHELINE",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "707-342-1770",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "LTC80163G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathways 2 ICF DDN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.