Provider Demographics
NPI:1770861817
Name:MANUEL ENTERPRISES INC
Entity Type:Organization
Organization Name:MANUEL ENTERPRISES INC
Other - Org Name:NEPENTHE HOME MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:FINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-633-4400
Mailing Address - Street 1:1969 W UINTAH ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904-2739
Mailing Address - Country:US
Mailing Address - Phone:719-633-4400
Mailing Address - Fax:719-633-0603
Practice Address - Street 1:16222 W US HIGHWAY 24
Practice Address - Street 2:SUITE 130
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80863-8762
Practice Address - Country:US
Practice Address - Phone:719-686-7500
Practice Address - Fax:719-686-7590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-22
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO08012486Medicaid