Forbes Division

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

960001062 Issued in CA

Legal business name

FORBES DIVISION

Practice address

2472 Forbes Ave
Claremont, CA 91711-1717

Phone

(909) 240-7680

Fax

(909) 982-2991

NPI assigned

Sep 3, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Michelle R ClarkeNPI 1245765791

Title

President

Phone

(909) 240-7680

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ability Pathways Inc. Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Clarke

  • Specialist
  • N Hollywood, CA
  • NPI 1245765791
  Authorized official Same address or phone

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1669620852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 N MOUNTAIN AVE",
            "address_2": "B-447",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863695",
            "telephone_number": "909-240-7680",
            "fax_number": "909-982-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2472 FORBES AVE",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111717",
            "telephone_number": "909-240-7680",
            "fax_number": "909-982-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORBES DIVISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-240-7680",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "960001062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC80255G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ability Pathways Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Foothill AIDS Project
• Foothill AIDS Project
• Foothill AIDS Project
• Foothill AIDS Project
• Foothill Speech & Language Services, Inc.
• Delacey Foster, RDN
• Steve Edward Fountain
• Jeryme Fowler
• Caitlin Paige Franchino
• Karen Delight French, FNP, RN

• Intellectual Disabilities Intermediate Care Facility in Claremont, CA
• Providers in Claremont, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.