Man Alive, Inc.

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

900128 Issued in MD

Legal business name

MAN ALIVE, INC.

Practice address

2117 Maryland Ave
Baltimore, MD 21218-5614

Phone

(410) 837-4292

Fax

(410) 837-0639

NPI assigned

Nov 8, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Reese, M.A., CAC-AD

Title

Executive Director

Phone

(410) 837-4292

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Opioid treatment program

Medicare-enrolled since Feb 19, 2026

Enrollment records 1

Locations

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255312203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 MARYLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185614",
            "telephone_number": "410-837-4292",
            "fax_number": "410-837-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 MARYLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185614",
            "telephone_number": "410-837-4292",
            "fax_number": "410-837-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAN ALIVE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-837-4292",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CAC-AD"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "MD",
            "license": "900128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "57387001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jui Malwankar
• Andrew Mammen, M.D.
• Jennifer Sophie Mammen, M.D.
• George J Mamo, M.D.
• Man Alive Transition House LLC
• Man Alive, Inc.
• Man Alive, Inc.
• Yukari Manabe, M.D.
• Management,Marketing,Medical,and Accounting Services LLC
• Michele Ann Manahan, MD

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.