Organization Active NPI

Mannas House Adult Daycare II, Inc

  • Adult Day Care Clinic/Center
  • Racine, WI
National Provider Identifier
1336790682
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
MANNAS HOUSE ADULT DAYCARE II, INC
Practice address
1034 West Blvd
Racine, WI 53405-2502
Phone
(262) 902-2420
Fax
(262) 583-0653
NPI assigned
Sep 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Authorized official

Name
Beatrice Johnson
Title
Owner
Phone
(262) 583-0653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

1034 West Blvd
Racine, WI 53405-2502

Mailing address

1034 West Blvd
Racine, WI 53405-2502
Phone (262) 902-2420

National Provider Directory

National Provider Directory

Locations

1034 West Blvd
Racine, WI 53405
Phone (262) 902-2420

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1336790682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 WEST BLVD",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534052502",
            "telephone_number": "262-902-2420",
            "fax_number": "262-583-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 WEST BLVD",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534052502",
            "telephone_number": "262-902-2420",
            "fax_number": "262-583-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNAS HOUSE ADULT DAYCARE II, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-583-0653"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.