NPIMap

Organization Active NPI

Mannacare Health and Wellness Medical Center

Doing business as Mannacare Medical

  • Clinic/Center
  • Lima, OH
National Provider Identifier
1851050843
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MANNACARE HEALTH AND WELLNESS MEDICAL CENTER
Doing business as
Mannacare Medical
Practice address
3101 W Elm St Ste 300
Lima, OH 45805-2555
Phone
(419) 673-7754
Fax
(419) 933-2619
NPI assigned
Dec 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Ms. Abigail Akyeampong, CNP
Title
President
Phone
(740) 818-5248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3101 W Elm St Ste 300
Lima, OH 45805-2555

Mailing address

3101 W Elm St Ste 300
Lima, OH 45805-2555
Phone (419) 673-7754

Other names 1

  • Mannacare Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220207001949 OH Part B Supplier - Clinic/Group Practice 5698168060 Receives reassigned benefits from 2 practitioners
Practice locations: Lima, OH

National Provider Directory

National Provider Directory
Tax ID family
Mannacare Health and Wellness Medical Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

920 W Market St
Ste 101
Lima, OH 45805
Phone (419) 229-3362

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1851050843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 W ELM ST STE 300",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052555",
            "telephone_number": "419-673-7754",
            "fax_number": "419-932-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 W ELM ST STE 300",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052555",
            "telephone_number": "419-673-7754",
            "fax_number": "419-933-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNACARE HEALTH AND WELLNESS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "AKYEAMPONG",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-818-5248",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mannacare Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mannacare Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.