Mark One Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MARK ONE CORPORATION

Doing business as

Ha-le Aloha Convalescent Hospital

Practice address

1711 Richland Avenue
Ceres, CA 95381-1129

Phone

(209) 537-4581

Fax

(209) 537-0035

NPI assigned

Dec 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Maneesh Bansal, M.D.

Title

Ceo

Phone

(562) 924-9618

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ha-le Aloha Convalescent Hospital Doing business as

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1770567984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 RICHLAND AVENUE",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953811129",
            "telephone_number": "209-537-4581",
            "fax_number": "209-537-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 RICHLAND AVENUE",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953811129",
            "telephone_number": "209-537-4581",
            "fax_number": "209-537-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK ONE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "MANEESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-924-9618",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "030000195",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05935H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ha-le Aloha Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Horacio Madueno
• Jagdeep Kaur Malhi
• Tarnjit Kaur Malhi
• Jasmeet Kaur Mann, O.D.
• Berenice Evangelina Manzo
• Destiny Marquez
• Karenna Nicole Martin, MS
• Marcus Martinez, ACSW
• Stephanie Anne Marie Mast
• John Richard Mataka, RAS

• Skilled Nursing Facility in Ceres, CA
• Providers in Ceres, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.