MANNACARE HEALTH AND WELLNESS MEDICAL CENTER LLC
NPI 1649821158
Nurse Practitioner - Family in Lima, OH

Q: What is Mannacare Health And Wellness Medical Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since September 25, 2019CLIA 36D2249009 · Waiver

3101 W ELM ST STE 300, LIMA, OH 45805(419) 673-7754(419) 458-2165 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Nov 5, 2023, Apr 20, 2022 and 1 more (4 updates tracked since 2019).

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About Mannacare Health And Wellness Medical Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANNACARE HEALTH AND WELLNESS MEDICAL CENTER LLC (NPI 1649821158) is a healthcare organization registered as a family in Lima, Ohio and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through January 17, 2028 and lists Abigail Akyeampong, Manager, as its authorized official.

NPPES Registry Identity

NPI1649821158

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameMANNACARE HEALTH AND WELLNESS MEDICAL CENTER LLC

Location Address3101 W ELM ST STE 300Lima, OH 45805-2555

Mailing Address3101 W Elm St Ste 300Lima, OH 45805-2555 · (419) 673-7754

Phone(419) 673-7754

Fax(419) 458-2165

Organization SubpartYes

Authorized OfficialAbigail AkyeampongManager · (419) 673-7754

Enumeration DateSeptember 25, 2019

Last NPPES UpdateSeptember 11, 20254 updates tracked since enumeration

NPPES CertifiedNovember 5, 2023

✔ NPI 1649821158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

3101 W ELM ST STE 300, Lima, OH 45805

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Other Names 3

Doing Business AsMannacare Health And Wellness Medical Center Llc

Doing Business AsMannacare Health And Werllness Medical Center Llc

Doing Business AsMannamental Health Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2249009

Mannacare Health And Wellness Center · Lima, OH

Active · expires Jan 17, 2028

CLIA Number36D2249009

Laboratory TypePhysician Office

Certificate Effective DateJanuary 18, 2026

Certificate Expiration DateJanuary 17, 2028

Laboratory DirectorAbigail Akyeampong

Laboratory Phone(419) 673-7754

Laboratory LocationMannacare Health And Wellness Center3101 W Elm St Ste 300, Lima, OH 45805

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABIGAIL GASU NP-C

Nurse Practitioner (Psychiatric/Mental Health)