Organization Active NPI

Manna Home Health Inc

  • Home Health Agency
  • Simi Valley, CA
National Provider Identifier
1245975812
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MANNA HOME HEALTH INC
Practice address
2139 Tapo St Ste 207
Simi Valley, CA 93063-3476
Phone
(805) 624-7225
NPI assigned
Apr 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Iryna Matyushenko
Title
Ceo
Phone
(323) 622-0834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2139 Tapo St Ste 207
Simi Valley, CA 93063-3476

Mailing address

2139 Tapo St Ste 207
Simi Valley, CA 93063-3476
Phone (056) 247-7225

National Provider Directory

National Provider Directory

Locations

12444 Victory Blvd
Ste 411K
North Hollywood, CA 91606

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1245975812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 TAPO ST STE 207",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633476",
            "telephone_number": "056-247-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 TAPO ST STE 207",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633476",
            "telephone_number": "805-624-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNA HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-28",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "MATYUSHENKO",
        "authorized_official_first_name": "IRYNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-622-0834"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.