Manor Hospice LTD

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MANOR HOSPICE LTD

Practice address

4150 W Peoria Ave Ste B130-a
Phoenix, AZ 85029-3900

Phone

(602) 691-0900

NPI assigned

Jul 9, 2021

Organization subpart

No

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

Authorized official

Name

Mazciel Hernandez

Title

Ceo

Phone

(602) 691-0900

Specialties & licenses 1

Addresses

Listed as

Manor Hospice LTDCCN 001559

Certified

Apr 20, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1417528449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 W PEORIA AVE STE B130-A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293900",
            "telephone_number": "602-691-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 W PEORIA AVE STE B130-A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293900",
            "telephone_number": "602-691-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR HOSPICE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MAZCIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-691-0900"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison H Manning, RD
• Debra Manning, RN LAC
• Ryan Roger Manning, OD
• Timothy Manning, DMD
• Namritha Manoharan, DO
• Steven John Manos, MD
• Ywchari Manos
• Manpreet S Badyal
• Alexandra Manriquez
• Maria Manriquez, MD

• Community Based Hospice Care Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community Based Hospice Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.