Organization Active NPI

Sally Mannix

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Moriches, NY
National Provider Identifier
1780955633
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
SALLY MANNIX
Practice address
8 Lilly CT
Moriches, NY 11955-1910
Phone
(631) 835-8580
NPI assigned
Jan 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Mrs. Sally E MannixNPI 1386001618
Title
Licensed Pratical Nurse
Phone
(631) 835-8580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

8 Lilly CT
Moriches, NY 11955-1910

Mailing address

8 Lilly CT
Moriches, NY 11955-1910
Phone (631) 835-8580

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1780955633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LILLY CT",
            "city": "MORICHES",
            "state": "NY",
            "postal_code": "119551910",
            "telephone_number": "631-835-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LILLY CT",
            "city": "MORICHES",
            "state": "NY",
            "postal_code": "119551910",
            "telephone_number": "631-835-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY MANNIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "MANNIX",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "LICENSED PRATICAL NURSE",
        "authorized_official_telephone_number": "631-835-8580",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moriches, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.