First State Residential Living LLC

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Legal business name

FIRST STATE RESIDENTIAL LIVING LLC

Practice address

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

Phone

(302) 322-2743

Fax

(302) 450-1368

NPI assigned

Jun 11, 2019

Organization subpart

No

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

Authorized official

Name

Nicholas A. Mannino Jr.

Title

President

Phone

(302) 322-2743

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1790344901",
    "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": "302-450-1368"
        },
        {
            "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": "302-450-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STATE RESIDENTIAL LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "MANNINO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-322-2743",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual & Developmental Disabilities Psychologist in New Castle, DE
• Providers in New Castle, DE by specialty
• Intellectual & Developmental Disabilities Psychologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.