Manna Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MANNA HOME HEALTH LLC

Practice address

5000 W Oakey Blvd Ste B8
Las Vegas, NV 89146-3395

Phone

(702) 202-6158

NPI assigned

Jul 29, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Jose Giovanni Santos PeridaNPI 1578186573

Title

Manager/Owner

Phone

(702) 202-6158

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Home health agency certification: CCN 297332

Legal name

MANNA HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 10, 2023

Last certification

Apr 13, 2023

Organization structure

LLCProprietary

Incorporated

Oct 8, 2018 in NV

Enrollment address

5000 W Oakey Blvd
Ste B8
Las Vegas, NV 89146-3395

Listed as

Manna Home Health LLCCCN 297332

Overall star rating

2.5 of 5

Ownership

-

Certified

Jun 10, 2023

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose Giovanni Santos Perida

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1578186573
  NPD Authorized official

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ruel Mariano, NP

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
  • NPI 1114481785

  Home health agency

  Care Compare affiliation
• Rachakonda D Prabhu, M.D.

  • Pulmonary Disease Physician
  • Las Vegas, NV
  • NPI 1538156633

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1841809472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W OAKEY BLVD STE B8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463395",
            "telephone_number": "702-202-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W OAKEY BLVD STE B8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463395",
            "telephone_number": "702-202-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNA HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "PERIDA",
        "authorized_official_first_name": "JOSE GIOVANNI",
        "authorized_official_middle_name": "SANTOS",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "702-202-6158",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earl Mann
• Jessica A Mann
• Nettie Ngo Mann
• Sandra Mann
• Manna Home Care
• Ghada Haddad Manna
• Gregory Mannarino, PA-C
• Vignan Manne, MD
• Alexis Manning-Espinda
• Brandie Manning

• Home Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.