Manna Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MANNA HOME HEALTH CARE LLC

Practice address

2013 Live Oak Blvd Ste F
Saint Cloud, FL 34771-8410

Phone

(407) 556-5264

Fax

(407) 593-6560

NPI assigned

Sep 13, 2022

Organization subpart

No

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

Authorized official

Name

Diana Beapot

Title

President/Administrator

Phone

(407) 556-5264

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 687366

Legal name

MANNA HOME HEALTH CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 20, 2024

Last certification

Apr 25, 2024

Organization structure

LLCProprietary

Incorporated

Sep 7, 2022 in FL

Enrollment address

2013 Live Oak Blvd
Ste F
Saint Cloud, FL 34771-8410

Listed as

Manna Home Health Care LLCCCN 687366 · All quality measures

Ownership

-

Certified

May 20, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1629790118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 LIVE OAK BLVD STE F",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347718410",
            "telephone_number": "407-556-5264",
            "fax_number": "407-593-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 LIVE OAK BLVD STE F",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347718410",
            "telephone_number": "407-556-5264",
            "fax_number": "407-593-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNA HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "BEAPOT",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "407-556-5264"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Maloney
• Christel Janine Campoy Mamaril
• Dayana Mandina
• Mango Wellness LLC (Mangowellness)
• Leland Mangrum
• Lizbeth Manoah, RN BSN IBCLC
• Ayah Mansour
• Minedith Marengo
• Laura Marcela Marin Jimenez, DMD
• Karen B Marquez de Chourio

• Home Health Agency in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.