Individual provider Active NPI

Nicholas Mannino

  • Home Modifications Contractor
  • New Castle, DE
National Provider Identifier
1225802820
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
2019600342 Issued in DE
Practice address
92 Reads Way Unit 108
New Castle, DE 19720-1631
Phone
(302) 322-2743
Fax
(302) 715-0849
NPI assigned
Nov 14, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X 2019600342 DE Primary

Addresses

Primary practice location

92 Reads Way Unit 108
New Castle, DE 19720-1631

Mailing address

92 Reads Way Unit 108
New Castle, DE 19720-1631
Phone (302) 322-2743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2019600342DEMDHome Modifications Contractor

Practice roles

OrganizationSpecialtyStatusNew patients
Interim Healthcare of Delaware LLC Current Accepting new patients

Locations

92 Reads Way
Unit 108
New Castle, DE 19720
Phone (302) 322-2743

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1225802820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 READS WAY UNIT 108",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197201631",
            "telephone_number": "302-322-2743",
            "fax_number": "302-715-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 READS WAY UNIT 108",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197201631",
            "telephone_number": "302-322-2743",
            "fax_number": "302-715-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNINO",
        "first_name": "NICHOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "DE",
            "license": "2019600342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.