Manna Healthcare Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

MANNA HEALTHCARE INC

Doing business as

Manna ADHC CBAS

Practice address

10144 Central Ave
Montclair, CA 91763-3851

Phone

(909) 364-1974

NPI assigned

Dec 10, 2021

Organization subpart

No

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

Authorized official

Name

Wi Young Lee

Title

Ceo

Phone

(714) 757-3079

Specialties & licenses 1

Addresses

Other names 1

• Manna ADHC CBAS Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1326707092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16675 SLATE DR UNIT 634",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917097415",
            "telephone_number": "714-757-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10144 CENTRAL AVE",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917633851",
            "telephone_number": "909-364-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNA HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "WI",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-757-3079"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manna ADHC CBAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Martin Malooly
• Haaliyah Malveaux
• Kent Malveaux Jr.
• Anthony Manago
• Corazon Manapat, FNP
• Cynthia Marseli Manriquez-Gonzalez
• Kelvin Miguel Maradiaga
• Victoria Maravilla
• Monique Vanessa Marentes
• Juan Carlos Marin Martinez

• Adult Day Care Clinic/Center in Montclair, CA
• Providers in Montclair, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.