Organization Active NPI

Manzo Corporation

Doing business as Autumn of Life Home Care

  • In Home Supportive Care Agency
  • Brewer, ME
National Provider Identifier
1336632991
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MANZO CORPORATION
Doing business as
Autumn of Life Home Care
Practice address
41 Acme Rd Ste 1
Brewer, ME 04412-1543
Phone
(207) 217-6026
Fax
(207) 217-6028
NPI assigned
Jun 8, 2018
Last updated
Jun 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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

Authorized official

Name
Rita Lynn Manzo
Title
President
Phone
(207) 949-6435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X ME Primary

Addresses

Primary practice location

41 Acme Rd Ste 1
Brewer, ME 04412-1543

Mailing address

41 Acme Rd Ste 1
Brewer, ME 04412-1543
Phone (207) 217-6026

Other names 1

  • Autumn of Life Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

41 Acme Rd
Ste 1
Brewer, ME 04412
Phone (207) 217-6026

695 Stillwater Ave
Old Town, ME 04468

NPI Registry JSON

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1336632991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 ACME RD STE 1",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121543",
            "telephone_number": "207-217-6026",
            "fax_number": "207-217-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 ACME RD STE 1",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121543",
            "telephone_number": "207-217-6026",
            "fax_number": "207-217-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANZO CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "MANZO",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-949-6435"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn of Life Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brewer, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.