Mavis Manigault

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

3618 Ashley Phosphate Rd Ste 7
North Charleston, SC 29418-8586

Phone

(843) 608-7041

Fax

(843) 800-2254

NPI assigned

Jul 11, 2021

Last updated

Jul 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bevel Up Mobile Phlebotomy Services LLC

  • Personal Care Attendant
  • Hanahan, SC
  • NPI 1730014176
  NPD Authorized official
• My Fathers Touch in Home Care LLC

  • Home Health Agency
  • Hanahan, SC
  • NPI 1073271441

  Respite Care

  NPD Authorized official
• My Fathers Touch in Home Care LLC

  • In Home Supportive Care Agency
  • Hanahan, SC
  • NPI 1326728577
  NPD Authorized official

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

{
    "created_epoch": "1625961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625961600000",
    "number": "1982276960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40331",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294230331",
            "telephone_number": "843-530-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 ASHLEY PHOSPHATE RD STE 7",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294188586",
            "telephone_number": "843-608-7041",
            "fax_number": "843-800-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIGAULT",
        "first_name": "MAVIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-11",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "SC",
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "SC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie T Malka, AUDIOLOGIST
• Jeema Maloney
• Caroline Malpass, STUDENT
• Destiney Malpass, PA
• Regina Manfredi
• Victoria Manigault, CPNP
• Brandi L. Mann, DPT
• David C Mann, MD
• Madison Manning
• Mary Leen Mansfield, PT, DPT

• Personal Care Attendant in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Personal Care Attendant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.