Marava Corporation

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

486801778 Issued in CA

Legal business name

MARAVA CORPORATION

Practice address

441 N Camino Alto
Vallejo, CA 94590-3313

Phone

(707) 554-3305

NPI assigned

May 6, 2014

Organization subpart

No

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

Authorized official

Name

Celso Avaricio

Title

Administrator

Phone

(707) 554-3305

Specialties & licenses 1

Addresses

Other names 1

• ISABEL CARE HOME Doing business as

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1417367889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 N CAMINO ALTO",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945903313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 N CAMINO ALTO",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945903313",
            "telephone_number": "707-554-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARAVA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "AVARICIO",
        "authorized_official_first_name": "CELSO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "707-554-3305"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "486801778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ISABEL CARE HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmine Manalo
• Jennifer Manickam, MD
• Ange Fredeline Manigat
• Peter K Mansuripur, M.D.
• Vanessa Marie Manzanares
• Mare Island Home Health Inc.
• Cierra Marie Mariano, MA, BCBA, LBA
• Jaclyn Aliana Mariano
• Michelle Mae Marin, A.N.P.
• Lajoyce Marius

• Adult Care Home Facility in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.