Manifested Visions LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MANIFESTED VISIONS LLC

Practice address

305 FM 517 Rd E Unit B
Dickinson, TX 77539-8643

Phone

(409) 941-9742

NPI assigned

Feb 29, 2024

Last updated

Aug 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shameka Idusuyi

Title

Owner

Phone

(409) 941-9742

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1801653514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 PARKWAY DR",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775113722",
            "telephone_number": "409-941-9742",
            "fax_number": "713-583-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 FM 517 RD E UNIT B",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775398643",
            "telephone_number": "409-941-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIFESTED VISIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "IDUSUYI",
        "authorized_official_first_name": "SHAMEKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-941-9742"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.