COLOMA
NPI 1164697637
Intermediate Care Facility, Intellectual Disabilities in Upland, CA

NPI Status: Active since April 25, 2008

Contact Information

1042 N MOUNTAIN AVE
B-447
UPLAND, CA
ZIP 91786
Phone: (909) 240-7680
Fax: (909) 980-1656

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About COLOMA

This page provides the complete NPI Profile along with additional information for Coloma, a provider established in Upland, California operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1164697637 assigned on April 2008. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Coloma. The authorized official of this NPI record is Ms. Michelle Clarke (President)

NPI
1164697637
Provider Legal Name
ABILITY PATHWAYS INC
Other Organization Name
COLOMA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1042 N MOUNTAIN AVE B-447 UPLAND, CA 91786
Location Phone
(909) 240-7680
Location Fax
(909) 980-1656
Mailing Address
1042 N. MOUNTAIN AVE. B-447 UPLAND, CA 91786
Mailing Phone
(909) 240-7680
Mailing Fax
(909) 980-1656
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-25-2008
Last Update Date
04-25-2008
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. MICHELLE CLARKE

Authorized Official Title
PRESIDENT
Authorized Official Phone
(909) 240-7680

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
LTC80299GMEDICAID (05)CA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1164697637
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211241291466
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 2 + 9 + 1 + 4 + 6 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1164697637 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326024050 MICHAEL PHILLIP WOLFF CRNA
Individual
Nurse Anesthetist, Certified Registered1042 N MOUNTAIN AVE BOX 351
UPLAND, CA 91786
(909) 908-9137
1164606380ABILITY PATHWAYS INC
Organization
Intermediate Care Facility, Intellectual Disabilities1042 N MOUNTAIN AVE SUITE B BOX 447
UPLAND, CA 91786
(909) 240-7680
1891960365ABILITY PATHWAYS INC
Organization
Intermediate Care Facility, Intellectual Disabilities1042 N MOUNTAIN AVE B-447
UPLAND, CA 91786
(909) 240-7680
1932574050YVETTE RIVERA DMD INC
Organization
Dentist (General Practice)1042 N MOUNTAIN AVE SUITE A-2
UPLAND, CA 91786
(909) 931-0222
1912352667DR. SHULA BERNSTINE PHARM.D
Individual
Pharmacist1042 N MOUNTAIN AVE
UPLAND, CA 91786
(909) 920-9971
1083167548ABILITY PATHWAYS INCORPORATED
Organization
Intermediate Care Facility, Intellectual Disabilities1042 N MOUNTAIN AVE B-447
UPLAND, CA 91786
(909) 240-7680

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164697637, enumerated in the NPI registry as an "organization" on April 25, 2008

The provider is located at 1042 N Mountain Ave B-447 Upland, Ca 91786 and the phone number is (909) 240-7680

This medical organization specializes in Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 25, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.