Manifest Sylvan Operation, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MANIFEST SYLVAN OPERATION, LLC

Practice address

22703 Sylvan St
Woodland Hills, CA 91367-1625

Phone

(818) 963-9319

NPI assigned

May 28, 2019

Organization subpart

No

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

Authorized official

Name

Julie Barron

Title

Coo

Phone

(951) 452-8536

Specialties & licenses 2

Addresses

Other names 1

• Manifest Recovery Centers Doing business as

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1053978874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22647 VENTURA BLVD STE 446",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641416",
            "telephone_number": "310-905-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22703 SYLVAN ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913671625",
            "telephone_number": "818-963-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIFEST SYLVAN OPERATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-28",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "BARRON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "951-452-8536"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manifest Recovery Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Manifest Recovery Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joan Golden Mandell, MSW,LCSW
• Alana Mandrick
• Fariba Manesh, MFT
• Anna Mangini, NP
• Darian Nitin Mangu, MD
• Daisy Maria Manjarrez
• Natalia Manko, L.AC.
• Crystal Manlapas
• Lanika Shequis Manning
• Parisa Manoocheri, B.A SOCIOLOGY

• Substance Abuse Rehabilitation Facility in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.