PHOENIX FRONTIER INC.
NPI 1194991810
Day Training, Developmentally Disabled Services in Buffalo, NY

Active since May 02, 2008

NPPES record last updated: May 2, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phoenix Frontier Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX FRONTIER INC. (NPI 1194991810) is a healthcare organization registered as a day training, developmentally disabled services in Buffalo, New York and active in the NPI registry since May 2008. The organization lists Jack Manganello, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1194991810
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NamePHOENIX FRONTIER INC.
Location Address100 LEROYBuffalo, NY 14214
Mailing Address100 LeroyBuffalo, NY 14214 · (716) 833-3231
Organization SubpartNo
Authorized OfficialJack ManganelloPresident/ceo · (716) 833-3231
Enumeration DateMay 2, 2008
NPI 1194991810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code251C00000X
License Licensed in NY · 6075659
Definition
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.
100 LEROY, Buffalo, NY 14214

Other Identifiers 9

Medicaid02170923NY
Medicaid02003092NY
Medicaid02155008NY
Medicaid01597722NY
Medicaid02617825NY
Medicaid02702032NY
Medicaid02559364NY
Medicaid01499949NY
Medicaid01509466NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Frontier Inc.'s NPI number?

The NPI number for Phoenix Frontier Inc. is 1194991810. It was assigned to this organization in the NPPES registry on May 2, 2008.

Where is Phoenix Frontier Inc. located?

Phoenix Frontier Inc. is located at 100 Leroy, Buffalo, NY 14214. The listed phone number is (716) 833-3231.

What is Phoenix Frontier Inc.'s specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Phoenix Frontier Inc. was last updated on May 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.