Individual provider Active NPI

Manirakiza Eric

  • Personal Care Attendant
  • Grand Forks, ND
National Provider Identifier
1689392441
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
2655 S 34TH St Apt 115
Grand Forks, ND 58201-6515
Phone
(701) 885-2645
Fax
(701) 922-0776
NPI assigned
Aug 18, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

2655 S 34TH St Apt 115
Grand Forks, ND 58201-6515

Mailing address

2655 S 34TH St Apt 115
Grand Forks, ND 58201-6515
Phone (701) 885-2645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1689392441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 S 34TH ST APT 115",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016515",
            "telephone_number": "701-885-2645",
            "fax_number": "701-922-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 S 34TH ST APT 115",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016515",
            "telephone_number": "701-885-2645",
            "fax_number": "701-922-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERIC",
        "first_name": "MANIRAKIZA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.