Mark One Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MARK ONE CORPORATION

Doing business as

Elness Convalescent Hospital

Practice address

812 W Main Street
Turlock, CA 95380-4645

Phone

(209) 667-2828

Fax

(209) 667-4683

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

• Elness Convalescent Hospital Doing business as

Locations

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1801870019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 W MAIN STREET",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953804645",
            "telephone_number": "209-667-2828",
            "fax_number": "209-667-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 W MAIN STREET",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953804645",
            "telephone_number": "209-667-2828",
            "fax_number": "209-667-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK ONE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2015-10-05",
        "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": "030000263",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05475G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elness Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Ryan Mangiapane, D.O.
• Tanya Marie Mangum, L.C.S.W.
• Rungsinee Amanda Manotok, M.S.R.D
• Mark Mangiapane DO Inc
• Mark One Corporation
• Jeffrey C Mark, M.D.
• Steven William Marles, MD JD
• Stephanie Marlin
• Valerie Marroquin
• Suzanne Marson

• Skilled Nursing Facility in Turlock, CA
• Providers in Turlock, 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 5, 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.