Mango House

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MANGO HOUSE

Practice address

10180 E Colfax Ave Ste 150
Aurora, CO 80010-5015

Phone

(720) 819-7194

NPI assigned

Sep 10, 2018

Organization subpart

No

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

Authorized official

Name

Jennifer Rudder

Title

Operations Director

Phone

(720) 819-7194

Specialties & licenses 1

Addresses

Tax ID family

Mango House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mango House

  • Clinic Pharmacy
  • Aurora, CO
  • NPI 1750951554
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mango House

  • Clinic Pharmacy
  • Aurora, CO
  • NPI 1750951554
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Muna Nuredin, PHARMD

  • Pharmacist
  • Aurora, CO
  • NPI 1568031391
  NPD

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1508349101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12702 W VIRGINIA AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282611",
            "telephone_number": "720-819-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10180 E COLFAX AVE STE 150",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800105015",
            "telephone_number": "720-819-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANGO HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "RUDDER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "720-819-7194"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Ramesh Manek, M.D.
• Kenneth C. Manfre, M.D.
• Mason James Mangapora, DO
• Samneet Mangat
• Shannon Brooke Mangat, FNP-C
• Mango House
• Jonathan C Manheim, MD
• Joan Manheimer, PHD
• Amber Maniates, PA-C
• Sayeed Manick

• Clinic/Center in Aurora, CO
• Providers in Aurora, CO by specialty
• Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.