Manifestations Worldwide Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MANIFESTATIONS WORLDWIDE INC

Doing business as

Manifestations Assisted Living

Practice address

3610 N 31St St # a
Tampa, FL 33605-1400

Phone

(813) 900-7941

Fax

(813) 533-6729

NPI assigned

Feb 5, 2022

Last updated

Feb 5, 2022By 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

Ms. Renae Heyward Kendrick, ADMINISTRATORNPI 1912369083

Title

Administrator

Phone

(813) 900-7941

Specialties & licenses 1

Addresses

Other names 1

• Manifestations Assisted Living Doing business as

Locations

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.

• Renae Kendrick, BSW

  • Social Worker
  • Tampa, FL
  • NPI 1912369083
  Authorized official Same address or phone

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644019200000",
    "number": "1578217964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 E LAKE AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336107853",
            "telephone_number": "813-241-6919",
            "fax_number": "813-200-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 N 31ST ST # A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336051400",
            "telephone_number": "813-900-7941",
            "fax_number": "813-533-6729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIFESTATIONS WORLDWIDE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-05",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "RENAE",
        "authorized_official_middle_name": "HEYWARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-900-7941",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manifestations Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Mangual, NP-C
• Dion Manhoff, MD
• Rajasekaran Mani
• Manica Health Care, Inc.
• Gordon Michael Maniere, CP
• Jack Earl Maniscalco, MD
• Valerie Maniscalco
• Maryis Elena Manjarres
• Manjul Derasari M.D.,P.a.
• Manlar, Inc.

• Assisted Living Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2022; 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.