Manteca Community Healthcare LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MANTECA COMMUNITY HEALTHCARE LLC

Doing business as

Manteca Assisted Living

Practice address

1130 Empire Ave
Manteca, CA 95336-8107

Phone

(209) 239-6785

NPI assigned

May 21, 2024

Last updated

Aug 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Mitchell

Title

Secretary

Phone

(385) 988-3319

Specialties & licenses 1

Addresses

Other names 1

• Manteca Assisted Living Doing business as

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1457190266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 N UNIVERSITY AVE",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 EMPIRE AVE",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953368107",
            "telephone_number": "209-239-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANTECA COMMUNITY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "385-988-3319"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manteca Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Manteca Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jesca Maimba, RN, BSN, MPH
• Jacqueline Maldonado
• Carrie Malekow, RN
• La Jeanne Mallett
• Florinda Galang Mallorca, M.D.
• Manteca District Volunteer Ambulance Service
• Manteca Emergency Physicians, a Medical Corporation
• Manteca Gastroenterology Associates Inc
• Manteca Gastroenterology Group
• Manteca Medical Group, Inc

• Assisted Living Facility in Manteca, CA
• Providers in Manteca, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.