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MANJULA MICHAELSON
NPI 1174935175
Assisted Living Facility in Antioch, CA

Active since May 24, 2014
2828 TERRACE VIEW AVE, ANTIOCH, CA 94531(925) 754-9206 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Manjula Michaelson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANJULA MICHAELSON (NPI 1174935175) is an individual assisted living facility provider in Antioch, California, licensed in California (079200834) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1174935175
Entity TypeIndividualFemale
Primary Taxonomy310400000X
Provider Legal NameMANJULA MICHAELSON
Location Address2828 TERRACE VIEW AVEAntioch, CA 94531-6645
Mailing Address2828 Terrace View AveAntioch, CA 94531-6645 · (925) 754-9206
Phone(925) 754-9206
Sole ProprietorYes
Enumeration DateMay 24, 2014
Last NPPES UpdateMay 16, 2022
NPPES CertifiedMay 16, 2022
✔ NPI 1174935175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in CA · 079200834
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2828 TERRACE VIEW AVE, Antioch, CA 94531
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manjula Michaelson's NPI number?

The NPI number for Manjula Michaelson is 1174935175. It was assigned to this individual provider in the NPPES registry on May 24, 2014.

Where is Manjula Michaelson located?

Manjula Michaelson practices at 2828 Terrace View Ave, Antioch, CA 94531. The listed phone number is (925) 754-9206.

What is Manjula Michaelson's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Manjula Michaelson was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.