FIRST STATE RESIDENTIAL LIVING LLC
NPI 1790344901
Psychologist - Intellectual and Developmental Disabilities in New Castle, DE
NPI Status: Active since June 11, 2019
Contact Information
92 READS WAY UNIT 108
NEW CASTLE, DE
ZIP 19720
Phone: (302) 322-2743
Fax: (302) 450-1368
- Organization
- Psychologist
- Intellectual and Developmental Disabilit...
- CLIA Number: 08D0938452
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 01-06-2026
About FIRST STATE RESIDENTIAL LIVING LLC
This page provides the complete NPI Profile along with additional information for First State Residential Living Llc, a provider established in New Castle, Delaware operating as a Psychologist, focusing in intellectual and developmental disabilities . The healthcare provider is registered in the NPI registry with number 1790344901 assigned on June 2019. The practitioner's primary taxonomy code is 103TM1800X. The provider is registered as an organization and their NPI record was last updated June 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Nicholas A. Mannino Jr. (President)
- NPI
- 1790344901
- Provider Name
- FIRST STATE RESIDENTIAL LIVING LLC
- Entity Type
- Organization
- Location Address
- 92 READS WAY UNIT 108 NEW CASTLE, DE 19720
- Location Phone
- (302) 322-2743
- Location Fax
- (302) 450-1368
- Mailing Address
- 92 READS WAY UNIT 108 NEW CASTLE, DE 19720
- Mailing Phone
- (302) 322-2743
- Mailing Fax
- (302) 450-1368
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-11-2019
- Last Update Date
- 06-25-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Intellectual and Developmental Disabilities
- Taxonomy Code
- 103TM1800X
- Type
- Behavioral Health & Social Service Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 08D0938452
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- January 07, 2024
- Certificate Expiration Date
- January 06, 2026
- Laboratory Director
- DR. HELEN CHANG-DEGUZMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to First State Residential Living Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 3 | 4 | 4 | 9 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 6 | 4 | 8 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 6 + 4 + 8 + 9 + 0 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1790344901 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1225802820 | NICHOLAS MANNINO Individual | Contractor (Home Modifications) | 92 READS WAY UNIT 108 NEW CASTLE, DE 19720 (302) 322-2743 |
| 1811762388 | NAM PROPERTIES LLC Organization | Contractor (Home Modifications) | 92 READS WAY UNIT 108 NEW CASTLE, DE 19720 (302) 322-2743 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790344901, enumerated in the NPI registry as an "organization" on June 11, 2019
The provider is located at 92 Reads Way Unit 108 New Castle, De 19720 and the phone number is (302) 322-2743
This medical organization specializes in Psychologist with taxonomy code 103TM1800X with a focus in Intellectual and Developmental Disabilities
The provider's CLIA number is 08D0938452 for a "end stage renal disease dialysis facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on June 11, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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