Mana Recovery LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MANA RECOVERY LLC

Practice address

1063 Lower Main St Ste C211A213
Wailuku, HI 96793-2038

Phone

(808) 867-9268

NPI assigned

Jun 14, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Owen James Campbell

Title

Ceo/Owner

Phone

(516) 474-1951

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Rosalie Jean Schreiber, APRN

  • Women's Health Nurse Practitioner
  • Kahului, HI
  • NPI 1568530632
  NPD
• Hilary E Helkenn

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1922705680
  NPD

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1588394472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 736",
            "city": "HAIKU",
            "state": "HI",
            "postal_code": "967080736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 LOWER MAIN ST STE C211A213",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932038",
            "telephone_number": "808-867-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANA RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "OWEN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "516-474-1951",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8042992",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Magnotto, RN
• Maureen C. Maguire, MD
• Megan Makahanaloa-Antunez
• Makana O Ka Ola Health and Wellness Clinic
• Tigist Nigatu Mammo, MD
• Mana Recovery LLC
• Mana Sober Living
• Shane Manago
• Shiras Claire Manning, PA-C
• Shirley Eunice Mapson, MSW

• Substance Abuse Rehabilitation Facility in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Substance Abuse Rehabilitation Facility in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.