Organization Active NPI

Manifest Total Care

  • In Home Supportive Care Agency
  • Richmond, VA
National Provider Identifier
1407220502
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MANIFEST TOTAL CARE
Practice address
3001 Quarter Creek LN
#4
Richmond, VA 23294-5215
Phone
(804) 300-5664
NPI assigned
Nov 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Authorized official

Name
Shauntah Powell
Title
Office Administrator
Phone
(804) 300-5112

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Community Based Hospice Care Agency 251G00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3001 Quarter Creek LN
#4
Richmond, VA 23294-5215

Mailing address

3001 Quarter Creek LN
#4
Richmond, VA 23294-5215
Phone (804) 300-5664

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1407220502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 QUARTER CREEK LN",
            "address_2": "#4",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232945215",
            "telephone_number": "804-300-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 QUARTER CREEK LN",
            "address_2": "#4",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232945215",
            "telephone_number": "804-300-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIFEST TOTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "SHAUNTAH",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "804-300-5112"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.