Manhaven Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MANHAVEN HEALTHCARE LLC

Practice address

13002 Bonnie LN
Stafford, TX 77477-4561

Phone

(281) 403-6193

Fax

(866) 317-2650

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Leo Delarosa

Title

Cfo

Phone

(281) 403-6193

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114142668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13002 BONNIE LN",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774561",
            "telephone_number": "281-403-6193",
            "fax_number": "866-317-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13002 BONNIE LN",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774561",
            "telephone_number": "281-403-6193",
            "fax_number": "866-317-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHAVEN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELAROSA",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "281-403-6193"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aminah Malik, LVN
• Brenda S Mallett, NP
• Raquel Paula Mamou
• Pankaj Mamtora, R.P.T.
• Mane Enterprises, LLC (Pioneer Emergency Medical Service)
• Dana Mansi
• Craig L Maples, D.D.S.
• Andrea Michaella Maribojo, LVN
• Susan Denise Marlatt
• Gelisa Martin, LVN

• Home Health Agency in Stafford, TX
• Providers in Stafford, 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 Aug 22, 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.