Myrtis Manigo

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

412189310 Issued in SC

Practice address

4500 Fort Jackson Blvd
Columbia, SC 29209-1119

Phone

(803) 782-1008

NPI assigned

Nov 5, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lighthouse Professional Staffing, Inc.

  • In Home Supportive Care Agency
  • Columbia, SC
  • NPI 1376949297
  NPD (past) Authorized official

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1457757361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90506",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292901506",
            "telephone_number": "803-782-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 FORT JACKSON BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091119",
            "telephone_number": "803-782-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIGO",
        "first_name": "MYRTIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "SC",
            "license": "412189310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Nancy Manfredini
• Mahesh M Manghani, BSC.OT; OT(C); OTR/L
• Abdul Qayoom Manghi, M.D.
• Gregory S. Mangione, P.A.
• Erwin Zeta Mangubat, MD
• Megan Mankins
• Manley Mental Health LLC
• Amber Manley, PMHNP
• Kevin Manley, DO
• James Moss Mann, M.D.

• Home Health Aide in Columbia, SC
• Providers in Columbia, SC by specialty
• Home Health Aide in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.