Mandis Care Home 2

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

MANDIS CARE HOME 2

Practice address

11451 True Way
Garden Grove, CA 92840

Phone

(714) 636-5527

Fax

(714) 636-5527

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Manny David Valeriano

Title

Executive Director

Phone

(714) 685-7888

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255427589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 S WESTRIDGE CIRCLE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928073722",
            "telephone_number": "714-685-7888",
            "fax_number": "714-685-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11451 TRUE WAY",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92840",
            "telephone_number": "714-636-5527",
            "fax_number": "714-636-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDIS CARE HOME 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALERIANO",
        "authorized_official_first_name": "MANNY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "714-685-7888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adey Clarisse Mambo
• April Manalaysay, PT
• Connie Nicole Mancera
• Florie Vanessa Mancilla, RDH
• Senobia Mancilla
• Megan Mangabat
• Andres Manguilar
• Adriana Maniacup
• Kirollos Mandy Asham Mankarious
• Rylie Lynn Manke

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.