Mandela Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MANDELA HOME CARE

Doing business as

Mandela Home Care

Practice address

2605 Braeburn Cir
Ann Arbor, MI 48108-2603

Phone

(734) 819-3101

Fax

(734) 527-6017

NPI assigned

Mar 6, 2025

Organization subpart

No

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

Authorized official

Name

Ibrahim Kourouma, OWNERNPI 1760218812

Title

Director

Phone

(734) 819-3101

Specialties & licenses 2

Addresses

Other names 1

• Mandela Home Care Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ibrahim Kourouma

  • Home Health Agency
  • Ann Arbor, MI
  • NPI 1760218812
  NPD Authorized official

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1518765338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 BRAEBURN CIR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082603",
            "telephone_number": "734-819-3101",
            "fax_number": "734-527-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 BRAEBURN CIR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082603",
            "telephone_number": "734-819-3101",
            "fax_number": "734-527-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDELA HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "KOUROUMA",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "734-819-3101",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mandela Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Brescoll Mancuso, MD
• Shreya Mandava
• Alexandra Mandel
• Caroline Ann Mandel, MS, RD, CSSD
• Shoshana Elise Mandel, MSW, LMSW
• Elizabeth A Mandell, M.A.
• Steven H Mandell, MD
• Carla S Manduch
• Christianne Therese Mangan, LLPC, NCC
• Lisa Marie Mangigian, LPC

• In Home Supportive Care Agency in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.