Manna Home Provider Services, LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

MANNA HOME PROVIDER SERVICES, LLC

Practice address

5151 Flynn Pkwy Ste 412T
Corpus Christi, TX 78411-4367

Phone

(361) 688-1586

NPI assigned

Mar 26, 2021

Last updated

Oct 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Damaris GonzalezNPI 1720677941

Title

Manager

Phone

(361) 438-7038

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Damaris Gonzalez

  • Personal Care Attendant
  • Corpus Christi, TX
  • NPI 1720677941
  NPD Authorized official

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1225615099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 FLYNN PKWY STE 412T",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114367",
            "telephone_number": "361-688-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 FLYNN PKWY STE 412T",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114367",
            "telephone_number": "361-688-1586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNA HOME PROVIDER SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "361-438-7038"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedrito Tualla Mangawang, M.D.
• Adrienne Mangroo, R.D.
• Megan Mangrum, PT, DPT
• Jon F Manjarris, MD
• Stacy Lynn Manlove
• Charliann Manny
• Rabeea Mansoor, M.D
• Hannah Manzano, FNP-C
• Monica Michelle Manzano, OTA
• Goharam Manzoor, MD

• Personal Care Attendant in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.