Active NPI
New Age Enterprises
Doing business as Manale Occupational & Physical Therapy
- Occupational Therapist
- Downey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 4566
- Legal business name
- NEW AGE ENTERPRISES
- Doing business as
- Manale Occupational & Physical Therapy
- Practice address
- 7320 Firestone Blvd Ste 105
Downey, CA 90241-4159 - Phone
- (562) 927-5820
- Fax
- (562) 684-0102
- NPI assigned
- Jan 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Valerie M Mendoza, REGIONAL MANAGER/HR
- Title
- Regional Manager/HR
- Phone
- (562) 927-5820
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | |||
| Occupational Therapist | 225X00000X | OT 4566 | CA | Primary |
| Physical Therapy Clinic/Center | 261QP2000X | OT 4566 | CA |
Addresses
Primary practice location
7320 Firestone Blvd Ste 105
Downey, CA 90241-4159
Mailing address
817 W Beverly Blvd Ste 201
Montebello, CA 90640-4265
Phone (562) 927-5820
Other practice location 1
17042 Bellflower Blvd
Bellflower, CA 90706-5950
Phone (562) 991-1324
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 521108 | Medicaid | CA |
Other names 1
- Manale Occupational & Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
Home health agency certification: CCN 059689
- Legal name
- NEW AGE ENTERPRISES
- Doing business as
- SGV HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 24, 2015
- Last certification
- Jul 19, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Sep 28, 2011 in CA
- Enrollment address
- 817 W Beverly Blvd
Ste 206
Montebello, CA 90640-4265
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba SGV Home Health
- Home Health Agency
- Montebello, CA
- NPI 1871998492
O20130430000398
Care Compare: Home health agency
Medicare Care Compare- Listed as
- SGV Home Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- Aug 24, 2015
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
7340 Firestone Blvd
Ste 123
Downey, CA 90241
Phone (562) 927-5820
7320 Firestone Blvd
Ste 105
Downey, CA 90241
Phone 5629275820 ext. 100
5161 Pomona Blvd
Ste AND109
Los Angeles, CA 90022
817 W Beverly Blvd
Ste 201
Montebello, CA 90640
Phone (562) 991-1324
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jorge E Manale | 5% Or Greater Direct Ownership Interest | Sep 28, 2011 | 50% |
| General Partnership Interest | Oct 14, 2014 | ||
| Corporate Director | Sep 28, 2011 | 50% | |
| W-2 Managing Employee | Sep 28, 2011 | 50% | |
| Tina Rose Manale | 5% Or Greater Direct Ownership Interest | Jan 2, 2024 | 50% |
| 5% Or Greater Security Interest | Jan 2, 2024 | 50% | |
| General Partnership Interest | Jan 2, 2024 | 50% | |
| Corporate Officer | Jan 2, 2024 | 50% | |
| Corporate Director | Jan 2, 2024 | 50% | |
| W-2 Managing Employee | Jan 2, 2024 | 50% | |
| Operational/Managerial Control | Jan 2, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Occupational Therapist
- Downey, CA
- NPI 1528016847
5% Or Greater Direct Ownership Interest, Corporate Director, General Partnership Interest, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Downey, CA
- NPI 1801203161
-
- Occupational Therapist
- Downey, CA
- NPI 1528016847
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Montebello, CA
- NPI 1932295680
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605484800000",
"number": "1417227554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 W BEVERLY BLVD STE 201",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906404265",
"telephone_number": "562-927-5820",
"fax_number": "562-684-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7320 FIRESTONE BLVD STE 105",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902414159",
"telephone_number": "562-927-5820",
"fax_number": "562-684-0102"
}
],
"practiceLocations": [
{
"address_1": "17042 Bellflower Blvd",
"address_purpose": "LOCATION",
"city": "Bellflower",
"state": "CA",
"postal_code": "907065950",
"country_code": "US",
"telephone_number": "562-991-1324",
"fax_number": "562-502-9862",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NEW AGE ENTERPRISES",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-06",
"last_updated": "2020-11-16",
"certification_date": "2020-08-27",
"status": "A",
"authorized_official_last_name": "MENDOZA",
"authorized_official_first_name": "VALERIE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "REGIONAL MANAGER/HR",
"authorized_official_telephone_number": "562-927-5820",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "REGIONAL MANAGER/HR"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT 4566",
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "CA",
"license": "OT 4566",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "521108",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Manale Occupational & Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.