Manda Ann Convalescent Home, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

4899 Issued in TX

Legal business name

MANDA ANN CONVALESCENT HOME, INC.

Practice address

7441 Coffee St
Houston, TX 77033-3455

Phone

(713) 733-9471

Fax

(713) 733-6597

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jarmese Morris

Title

Administrator

Phone

(713) 733-9471

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265645915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7441 COFFEE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770333455",
            "telephone_number": "713-733-9471",
            "fax_number": "713-733-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7441 COFFEE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770333455",
            "telephone_number": "713-733-9471",
            "fax_number": "713-733-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDA ANN CONVALESCENT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JARMESE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-733-9471",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "4899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Mancias, M.D.
• Alexandra McKayla Mancilla
• Jay Mar Santos Mancilla, PT
• Ralph Michael Mancini, M.D.
• Melissa C Mancuso, R,PH.
• Anuron Mandal, MD
• Rao S Mandalapu, MD
• Vijaya Lakshmi Mandalapu, MD
• Spandana Mandaloju, MD
• Puja Mandanayaka

• Nursing Facility/Intermediate Care Facility in Houston, TX
• Providers in Houston, TX by specialty
• Nursing Facility/Intermediate Care Facility in Texas

• 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.