SALLY MANNIX (NPI# 1780955633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780955633 |
| Entity Type | Organization |
| Organization Name | SALLY MANNIX |
| Practice Address |
8 Lilly Ct Moriches NY 11955-1910 |
| Practice Telephone | 6318358580 |
| Mailing Telephone | 6318358580 |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |
| Authorized Official Name | MRS. SALLY E MANNIX (LICENSED PRATICAL NURSE) |
| Authorized Official Telephone | 6318358580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
8 LILLY CT |
| City | MORICHES |
| State | NY |
| Zip Code | 11955-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386001618 | Sally E Mannix | Licensed Practical Nurse | 8 Lilly Ct, Moriches, NY 11955-1910 | 2016-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255979399 | Robert Anthony Fitzsimmons | Massage Therapist | 225 Montauk Highway Suite 114, Moriches, NY 11955 | 2019-12-19 |
| 1548745474 | Luanne Sauer | Massage Therapist | 225 Montauk Hwy, St 114, Suite 114, Moriches, NY 11955 | 2018-09-26 |
| 1295008266 | Narcisa Marrero | Adult Companion | 82 Beaverspur, 10, Moriches, NY 11955 | 2012-02-21 |
| 1639488810 | Donna Susan Moeller | Registered Nurse | 630 Moriches Middle Island Road, Moriches, NY 11955 | 2010-10-05 |
| 1275706731 | Independent Group Home Living | Intermediate Care Facility, Mentally Retarded | 125 Sebonic Rd, South Hampton, NY 11955 | 2008-04-07 |
| 1043491665 | Colonial Youth and Family Services Inc. | Social Worker | 346 Montauk Hwy Ste 1a, Moriches, NY 11955 | 2007-11-26 |
| 1316152556 | Maude V Fassett | Social Worker | 70-14 Lakewood Ct, Apt 14, Moriches, NY 11955 | 2007-05-11 |
| 1790896173 | Charles Melton | Dentist | 256 Montauk Highway, Starlight Dental Care, Moriches, NY 11955 | 2006-08-31 |
| 1386935948 | Kimberly Lynn Andrejkovics | Social Worker | 346 Montauk Hwy Ste 1a, Moriches, NY 11955 | 2011-04-29 |
| 1770893729 | Moriches Vision Center | Technician/Technologist | 225 Montauk Hwy, Suite 106, Moriches, NY 11955 | 2010-10-08 |
| Find all providers in zip 11955 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1366914772 | Michelle Thomas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2713 Colonial Dr, New Windsor, NY 12553-4925 | 2018-12-24 |
| 1730659327 | Nathalie Lawrence Ot P C | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 566 Macon Pl, Uniondale, NY 11553-2829 | 2018-11-27 |
| 1598249831 | Annie Hwang Pt P.C. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 Teneyck Ave, Valley Stream, NY 11580-4016 | 2018-09-22 |
| 1801396841 | Tlc Kids Therapy, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3270 Mark Alan Dr, Wantagh, NY 11793-1841 | 2018-02-16 |
| 1760929715 | Sheltering Arms Children and Family Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2749 University Ave, Apt 3, Bronx, NY 10468-3302 | 2017-01-30 |
| 1417499385 | J. Gudis Speech and Language | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 104 E 31st St Apt 5d, New York, NY 10016-6828 | 2016-11-09 |
| 1356700488 | Cnyddso | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1315 Schuyler St, Rome, NY 13440-2825 | 2016-02-17 |
| 1134592470 | Beacon Group | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 54 Henry Ave, Babylon, NY 11702-1327 | 2015-11-09 |
| 1558733568 | Task Recovery Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2716 Avenue Y, Brooklyn, NY 11235-2008 | 2015-10-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.