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KAMDEM JAMES MANGA
NPI 1740992858
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Dallas, TX

Active since December 20, 2022
1910 PACIFIC AVE STE 11500, DALLAS, TX 75201(240) 646-4794 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kamdem James Manga NPPES

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

KAMDEM JAMES MANGA (NPI 1740992858) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Dallas, Texas and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1740992858
Entity TypeIndividualMale
Primary Taxonomy320900000X
Provider Legal NameKAMDEM JAMES MANGA
Location Address1910 PACIFIC AVE STE 11500Dallas, TX 75201-4559
Mailing Address317 Ridgeland Oaks DrFort Worth, TX 76120-1745 · (240) 646-4794
Phone(240) 646-4794
Sole ProprietorYes
Enumeration DateDecember 20, 2022
NPPES CertifiedDecember 20, 2022
✔ NPI 1740992858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1910 PACIFIC AVE STE 11500, Dallas, TX 75201
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Other Providers at the Same Location NPPES

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

ILLEE HEALTHCARE SERVICES LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1910 PACIFIC AVE STE 11500
DALLAS, TX 75201
Dallas County (240) 646-4794

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kamdem Manga's NPI number?

The NPI number for Kamdem Manga is 1740992858. It was assigned to this individual provider in the NPPES registry on December 20, 2022.

Where is Kamdem Manga located?

Kamdem Manga practices at 1910 Pacific Ave Ste 11500, Dallas, TX 75201. The listed phone number is (240) 646-4794.

What is Kamdem Manga's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Kamdem Manga was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.