Warren C Mangulabnan, RPT

Primary specialty

SpecialistTaxonomy code 174400000X

License

5501009909 Issued in MI

Practice address

33620 Five Mile Rd Ste a
Livonia, MI 48154-2866

Phone

(248) 957-8930

Fax

(313) 541-1171

NPI assigned

Feb 29, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Home Care Connect, Inc.

  • Home Health Agency
  • Livonia, MI
  • NPI 1194951384
  NPD Authorized official
• Serenity Hospice Care LLC

  • Community Based Hospice Care Agency
  • Livonia, MI
  • NPI 1356958649
  NPD
• Quickstar Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Oak Park, MI
  • NPI 1982611042
  NPD (past)

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1194185439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28720 BAYBERRY CT W",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543867",
            "telephone_number": "248-396-9193",
            "fax_number": "313-741-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33620 FIVE MILE RD STE A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542866",
            "telephone_number": "248-957-8930",
            "fax_number": "313-541-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGULABNAN",
        "first_name": "WARREN",
        "middle_name": "C",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-29",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "5501009909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "5501009909",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Manaois
• Adam Mancina, BEHAVIOR TECHNICIAN
• Grace Elizabeth Mancina
• Michael A Mandell, MD
• Fawaz Manfoukh
• Toby Raju Manimalethu, RPT
• Ajith Rengarajan Manipala, DDS
• Asiya Naeem Manjlai
• Raja Canice Manning
• Alielhadi Mansour

• Specialist in Livonia, MI
• Providers in Livonia, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.