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General NPI Number Information
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NPI Number | 1881218527
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Entity Type | Organization
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Legal Business Name | MANIFEST HOME HEALTH LLC
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Dates
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Enumeration Date | 05/28/2020
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 6633 E HWY 290 STE 311
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City | AUSTIN
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State | TX
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Zip | 78723-1172
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Country | US
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Telephone | 512-595-1751
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Fax | 888-398-3195
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Provider Business Mailing Address
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Address Line | 11605 MILL RIDGE TRCE
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City | MANOR
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State | TX
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Zip | 78653-3696
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Country | US
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Telephone | 512-400-5137
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Fax | 888-398-3195
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR/ALT NURSE SUP
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Name | SHIRLET FOWLER ORIAKHI
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Credential | RN DNP
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Telephone | 512-595-1751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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