NPIMap

Organization Active NPI

Metropolitan Area Neighborhood Nutrition Alliance

Doing business as Manna

  • Home Delivered Meals
  • Philadelphia, PA
National Provider Identifier
1730399064
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
METROPOLITAN AREA NEIGHBORHOOD NUTRITION ALLIANCE
Doing business as
Manna
Practice address
420 N 20TH St
Philadelphia, PA 19130-3828
Phone
(215) 496-2662
Fax
(215) 496-1349
NPI assigned
May 23, 2007
Last updated
Jul 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Authorized official

Name
Ms. Susan Daugherty, R.D.
Title
Ceo
Phone
(215) 496-2662

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X NU Primary
Registered Dietitian 133V00000X PA

Addresses

Primary practice location

420 N 20TH St
Philadelphia, PA 19130-3828

Mailing address

420 N 20TH St
Philadelphia, PA 19130-3828
Phone (215) 496-2662

Other identifiers 2

IdentifierTypeStateIssuer
001542272-0003MedicaidPA
001542272-0002MedicaidPA

Other names 1

  • MANNA Doing business as

National Provider Directory

National Provider Directory

Locations

2323 Ranstead St
Philadelphia, PA 19103
Phone (215) 496-2662

420 N 20th St
Philadelphia, PA 19130
Phone (215) 496-2662

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1730399064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N 20TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303828",
            "telephone_number": "215-496-2662",
            "fax_number": "215-496-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N 20TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303828",
            "telephone_number": "215-496-2662",
            "fax_number": "215-496-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN AREA NEIGHBORHOOD NUTRITION ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-496-2662",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001542272-0003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001542272-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANNA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MANNA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.