Mancala Holdings, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MANCALA HOLDINGS, LLC

Doing business as

Mancala NEMT

Practice address

95 Bulldog Blvd Ste 205
Melbourne, FL 32901-3188

Phone

(321) 806-9007

Fax

(321) 821-0847

NPI assigned

Nov 2, 2021

Organization subpart

No

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

Authorized official

Name

Audley Savage

Title

Coo

Phone

(321) 806-9007

Specialties & licenses 1

Addresses

Other names 1

• Mancala NEMT Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1992460208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 W NEW HAVEN AVE STE 404",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329043661",
            "telephone_number": "321-806-9007",
            "fax_number": "321-821-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 BULLDOG BLVD STE 205",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013188",
            "telephone_number": "321-806-9007",
            "fax_number": "321-821-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCALA HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "AUDLEY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "321-806-9007"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mancala-nemt.com",
            "affiliation": "N",
            "endpointDescription": "www.mancala-nemt.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Unk",
            "address_1": "2903 W New Haven Ave Ste 404",
            "city": "West Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329043661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mancala NEMT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Malone, CLC
• Jack Maloney, LCSW- CAP
• Joan Mamey, SP
• Gabriele Elisabeth Mamone, M.ED, ED.S.
• Joseph Robert Manarino
• Sharon Ann Mandaville, BS
• Michael N Mandese, O.D.
• Chandra Mangra, MD
• Laura Manilli
• Debra B Mann, PTA

• Non-emergency Medical Transport (VAN) in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.