Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Thanonsack Manivong

Individual provider Adult Companion · NPI 1104762681

Thanonsack Manivong is an Adult Companion in Grand Island, Nebraska. Licensed in New Jersey. Registered with an NPI since 2026.

Licensed in
NJ
In the registry since
2026
Specialties on file
2
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Practice location Address checks out

Visits clients at home This work is carried out in the client's own home, so the registered address is a private residence rather than a place you can visit. We do not publish it. Contact details come from the provider or the agency that employs them.

Grand Island, NE

No coordinates on file. Search this address in Google Maps

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X (NJ)
Adult Companion Taxonomy 372600000X (NJ)

Record details

NPI number1104762681
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 27, 2026
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026

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