Manna House Adult Family Home, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MANNA HOUSE ADULT FAMILY HOME, LLC

Doing business as

The Manna House

Practice address

2400 Kinzie Ave
Racine, WI 53405-2520

Phone

(262) 637-8362

NPI assigned

Sep 1, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Beatrice Johnson

Title

Owner/President

Phone

(262) 902-3338

Specialties & licenses 1

Addresses

Other names 1

• The Manna House Doing business as

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

{
    "created_epoch": "1756684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756684800000",
    "number": "1982583100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6557 ALTAMOUNT CIR",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534066816",
            "telephone_number": "262-902-3338",
            "fax_number": "262-583-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 KINZIE AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534052520",
            "telephone_number": "262-637-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNA HOUSE ADULT FAMILY HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "262-902-3338",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Manna House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amybeth Mahoney
• Sarah Jade Majewski
• Abha Malhotra, MD
• Traneda Malott
• Jeffrey C. Manlove, M.D.
• Mannas House Adult Daycare II, Inc
• Sridevi Manne, MD
• Mary C. Manning, N.P.
• Cassandra Marasch, DPT
• Rosann Marattil

• Assisted Living Facility in Racine, WI
• Providers in Racine, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; 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.