Managed Senior Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MANAGED SENIOR CARE LLC

Practice address

625 Spring Ave NE
Grand Rapids, MI 49503-1903

Phone

(616) 234-0190

Fax

(866) 289-0994

NPI assigned

Apr 24, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Danna Gomez

Title

Co-Owner

Phone

(616) 234-0190

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1114314366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140288",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495140288",
            "telephone_number": "616-234-0190",
            "fax_number": "866-289-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 SPRING AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031903",
            "telephone_number": "616-234-0190",
            "fax_number": "866-289-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGED SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "DANNA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "616-234-0190",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Malosh, LLMSW
• Stephen Malvitz, DPT
• Thomas A Malvitz, MD
• Rolland Dean Mambourg, MD
• Laura Danielle Mammen, LPC, LMFT, NCC, ACS
• Michelle Mascarinas Manalac, MD
• Amanda Mancewicz, PHARMD
• Gary W. Mancewicz, D.D.S.
• Alicia May Mancini, PA-C
• Brandon Robert Mancini, M.D.

• In Home Supportive Care Agency in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.