Mani Medical Clinic Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MANI MEDICAL CLINIC CORP

Doing business as

Alive and Well Community Partners Homestead

Practice address

833 N Homestead Blvd
Homestead, FL 33030-5024

Phone

(786) 743-4803

Fax

(786) 349-4314

NPI assigned

Dec 4, 2024

Organization subpart

No

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

Authorized official

Name

Steve C Taylor

Title

Owner

Phone

(786) 743-4803

Specialties & licenses 1

Addresses

Other names 1

• Alive and Well Community Partners Homestead Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 4

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

• Richard Eduardo Arevalo Sr.

  • Nurse Practitioner
  • Homestead, FL
  • NPI 1790373090
  Medicare reassignment Care Compare group NPD
• Diana Centeno, ANRP

  • Family Nurse Practitioner
  • Homestead, FL
  • NPI 1689220055
  Medicare reassignment Care Compare group NPD
• Angela Dowd, APRN

  • Family Nurse Practitioner
  • Homestead, FL
  • NPI 1811761307
  Medicare reassignment NPD
• Niermala Rattan Washington, M.D.

  • General Practice Physician
  • Pompano Beach, FL
  • NPI 1780611764

  Family Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1922814144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 N HOMESTEAD BLVD",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330305024",
            "telephone_number": "786-743-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 N HOMESTEAD BLVD",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330305024",
            "telephone_number": "786-743-4803",
            "fax_number": "786-349-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANI MEDICAL CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-743-4803"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alive and Well Community Partners Homestead",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shandra Partrell Mallary
• Noralys Mallo
• Carmen Del Rocio Mancero, RN
• Nurys Mangano Andova
• Todd Paul Mangione, D.O.
• Mani Medical Corp (Mani Medical Center)
• Amy Janelle Manjarres
• Araceli Manrriquez
• Fani R Manzano Mora
• Wendy Xiomara Manzano

• Family Medicine Physician in Homestead, FL
• Providers in Homestead, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.