NPI age
3 years
Enumerated 2022-12-20
● Active
Type 1 · Individual
Kamdem James Manga
Manga is 1 of 62 community based residential treatment facility, intellectual and/or developmental disabilities providers in Dallas and 1 of 1496 in Texas.
Primary specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2022-12-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1496 active community based residential treatment facility, intellectual and/or developmental disabilities providers in Texas.
NPI age
3 years
↓ 5 yr below median (8 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-12Enumerated in NPPES
2022
2026
Where they practice
Practice location
1910 Pacific Ave Ste 11500
Dallas, TX 752014559
Mailing address
317 Ridgeland Oaks Dr
Fort Worth, TX 761201745
Specialties
-
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities PrimaryA home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Recently enumerated nearby: 4 new community based residential treatment facility, intellectual and/or developmental disabilities providers have been added in Dallas in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.