MANDIS CARE HOME 2 – NPI #1255427589
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

MANDIS CARE HOME 2 is a residential treatment facility located in GARDEN GROVE, CA. NPPES has assigned the NPI number 1255427589 to MANDIS CARE HOME 2 on October 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MANDIS CARE HOME 2 below.

NPI Profile for
MANDIS CARE HOME 2

NPI Number
1255427589
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MANDIS CARE HOME 2
Primary location
11451 TRUE WAY
GARDEN GROVE, CA 92840
Phone: (714) 636-5527 Fax: (714) 636-5527
Mailing address
429 S WESTRIDGE CIRCLE
ANAHEIM, CA 92807-3722
Phone: (714) 685-7888 Fax: (714) 685-6888
Organization Subpart
No
Authorized Official
MANNY VALERIANO
EXECUTIVE DIRECTOR
Phone: (714) 685-7888
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
CA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.