Man Alive Transition House LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

MAN ALIVE TRANSITION HOUSE LLC

Practice address

2649 Chesterfield Ave
Baltimore, MD 21213-1106

Phone

(410) 297-1560

NPI assigned

May 26, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Darrin Navon OnealNPI 1063940393

Title

Owner/Ceo

Phone

(410) 297-1560

Specialties & licenses 8

Addresses

Practitioners 1

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

• Darrin Navon O'Neal

  • Case Manager/Care Coordinator
  • Baltimore, MD
  • NPI 1063940393

  In Home Supportive Care

  NPD Authorized official

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

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    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629506266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 CHESTERFIELD AVENUE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21213",
            "telephone_number": "410-297-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649 CHESTERFIELD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131106",
            "telephone_number": "410-297-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAN ALIVE TRANSITION HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ONEAL",
        "authorized_official_first_name": "DARRIN",
        "authorized_official_middle_name": "NAVON",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "410-297-1560",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
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        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel German Maluf, MD
• Jui Malwankar
• Andrew Mammen, M.D.
• Jennifer Sophie Mammen, M.D.
• George J Mamo, M.D.
• Man Alive, Inc.
• Man Alive, Inc.
• Man Alive, Inc.
• Yukari Manabe, M.D.
• Management,Marketing,Medical,and Accounting Services LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.