Manna Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MANNA CARE LLC

Practice address

1049 Dennington PL
Roseville, CA 95747-8949

Phone

(630) 999-4764

NPI assigned

Nov 18, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Clint Bedolido, CPA

Title

Cfo

Phone

(630) 999-4764

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1902409212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 DENNINGTON PL",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957478949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 DENNINGTON PL",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957478949",
            "telephone_number": "630-999-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "BEDOLIDO",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "630-999-4764",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manish Upadhyay, MD, Inc
• Earnest George Manjooran, MD
• Rachel-Victoria Denea Manley
• Elveen Kaur Mann, MD
• Rupina Mann, MD
• Kelly Elaire Manning
• Sanaz Mansourian, N.P.
• Simeen Mansuri, MA SLP
• Taja Anastasia Manuselis, M.D.
• Irwin Maquiling

• Community Based Hospice Care Agency in Roseville, CA
• Providers in Roseville, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.