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PHOENIX FRONTIER INC. NPI 1194991810


NPI Information

NPI: 1194991810
Provider Name: PHOENIX FRONTIER INC.
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
100 LEROY
BUFFALO, NY
ZIP 14214
Phone: (716) 833-3231
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PHOENIX FRONTIER INC. is a day training developmentally disabled services in Buffalo, NY. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. PHOENIX FRONTIER INC. NPI is 1194991810. The provider is registered as an organization entity type.

The provider's business location address is:

100 LEROY
BUFFALO, NY
ZIP 14214
Phone: (716) 833-3231

The provider's authorized official is Jack Manganello .
The authorized official title is President/ceo and has the following contact phone number (716) 833-3231.

The enumeration date for this NPI number is 5/2/2008 and was last updated on 5/2/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled Services6075659NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102170923MEDICAIDNEW YORK
202003092MEDICAIDNEW YORK
302155008MEDICAIDNEW YORK
401597722MEDICAIDNEW YORK
502617825MEDICAIDNEW YORK
602702032MEDICAIDNEW YORK
702559364MEDICAIDNEW YORK
801499949MEDICAIDNEW YORK
901509466MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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