Managed Homecare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

250000505 Issued in CA

Legal business name

MANAGED HOMECARE, INC.

Practice address

4100 Latham St
Suite I
Riverside, CA 92501-1733

Phone

(951) 341-0782

Fax

(951) 274-3638

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Pranav Patel

Title

Owner

Phone

(949) 263-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1306987813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17818 BELSHIRE AVE",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907014234",
            "telephone_number": "562-676-6108",
            "fax_number": "951-274-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LATHAM ST",
            "address_2": "SUITE I",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011733",
            "telephone_number": "951-341-0782",
            "fax_number": "951-274-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGED HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRANAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-263-4700"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "250000505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA07413F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Jazmin Lumba Malsi, RN
• Raul Malta Jr.
• Terry David Maltz, DVM
• Kezia Mambo
• Man Vo and Tina Vo DDS
• Jose Joel Manalese, DDS
• Jonathan Caleb Mancao, MD
• Kylie Mancebo-Thompson
• Angelique Mancinas
• Laura Patricia Mancio

• Home Health Agency in Riverside, CA
• Providers in Riverside, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.