Organization · NPI-2

Manna House Adult Family Home, LLC

Assisted Living Facility · Racine, WI

NPI number1982583100
StatusActive
Last updated in NPPESSep 1, 2025

Details

NPI
1982583100
Entity type
Organization (NPI-2)
Legal business name
Manna House Adult Family Home, LLC
Organization subpart
No
Enumeration date
Sep 1, 2025
Certification date
Sep 1, 2025
Last updated
Sep 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Other names

  • The Manna House (Doing Business As)

Practice location

2400 Kinzie Ave
Racine, WI 53405-2520

Phone 262-637-8362

Mailing address

6557 Altamount Cir
Mount Pleasant, WI 53406-6816

Phone 262-902-3338 · Fax 262-583-0653

Authorized official

Beatrice Johnson
Owner/President
2629023338

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Assisted Living Facility providers in Racine, WI