Provider Demographics
NPI:1609582220
Name:MANA O NANI
Entity Type:Organization
Organization Name:MANA O NANI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER/
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:URIBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-361-0040
Mailing Address - Street 1:999 E BASELINE RD APT 2208
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-1351
Mailing Address - Country:US
Mailing Address - Phone:833-361-0040
Mailing Address - Fax:
Practice Address - Street 1:64 E BROADWAY RD
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-1353
Practice Address - Country:US
Practice Address - Phone:833-361-0040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No172A00000XOther Service ProvidersDriverGroup - Multi-Specialty
No174200000XOther Service ProvidersMeals
No177F00000XOther Service ProvidersLodging
No251B00000XAgenciesCase Management
No282J00000XHospitalsReligious Nonmedical Health Care Institution
No347C00000XTransportation ServicesPrivate VehicleGroup - Multi-Specialty