Active NPI
Manna Home Health Inc
- Home Health Agency
- Simi Valley, CA
National Provider Identifier
1245975812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.