Organization Active NPI

Manna Hospice Inc

  • Community Based Hospice Care Agency
  • Glendale, CA
National Provider Identifier
1891372165
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MANNA HOSPICE INC
Practice address
1800 Broadview Dr Ste 266
Glendale, CA 91208-1259
Phone
(747) 264-9809
Fax
(747) 264-9810
NPI assigned
Mar 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Authorized official

Name
Liza Cole
Title
Owner, Ceo, Cfo, Secretary
Phone
(747) 264-9809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1800 Broadview Dr Ste 266
Glendale, CA 91208-1259

Mailing address

1800 Broadview Dr Ste 266
Glendale, CA 91208-1259
Phone (747) 264-9809

National Provider Directory

National Provider Directory

Locations

1800 Broadview Dr
Ste 266
Glendale, CA 91208
Phone (747) 264-9809

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1891372165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BROADVIEW DR STE 266",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081259",
            "telephone_number": "747-264-9809",
            "fax_number": "747-264-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BROADVIEW DR STE 266",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081259",
            "telephone_number": "747-264-9809",
            "fax_number": "747-264-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNA HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "LIZA",
        "authorized_official_title_or_position": "OWNER, CEO, CFO, SECRETARY",
        "authorized_official_telephone_number": "747-264-9809"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.