Manna Haven Care Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

010490 Issued in TX

Legal business name

MANNA HAVEN CARE SERVICES

Practice address

501 Matador St
Burkburnett, TX 76354-2218

Phone

(817) 681-2226

Fax

(940) 568-9294

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Wanda Jean Ihua-Maduenyi, RN, BSN

Title

Co-Owner

Phone

(817) 681-2226

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1104867613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MATADOR ST",
            "city": "BURKBURNETT",
            "state": "TX",
            "postal_code": "763542218",
            "telephone_number": "817-681-2226",
            "fax_number": "940-568-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MATADOR ST",
            "city": "BURKBURNETT",
            "state": "TX",
            "postal_code": "763542218",
            "telephone_number": "817-681-2226",
            "fax_number": "940-568-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNA HAVEN CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "IHUA-MADUENYI",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "817-681-2226",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Wayne Williams MD
• Kylie Kerr, LPC
• Patricia Anne Lamb, M.A., CCC-SLP
• Zerlina Ruth Leavelle, CPHT
• Angela L Leon, FNP
• Manna Haven Care Services, Inc
• Willard Leo McGuire, PA-C
• Heather Irene McLain, CERT BIRTH DOULA
• Morgan B. Moore, O.D.
• Nocona Hospital District

• Home Health Agency in Burkburnett, TX
• Providers in Burkburnett, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.