MARY AGNES MANOR
NPI 1487057972
Assisted Living Facility - Assisted Living, Mental Illness in Buffalo, NY

Active since September 29, 2014
307 PORTER AVE, BUFFALO, NY 14201(716) 881-0565 Get Directions Write a Review

NPPES record last updated: September 29, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Agnes Manor NPPES

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

MARY AGNES MANOR (NPI 1487057972) is a healthcare organization registered as an assisted living, mental illness in Buffalo, New York and active in the NPI registry since September 2014. The organization lists Danny Zyskind, Assistant Administrator, as its authorized official.

NPPES Registry Identity

NPI1487057972
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameMARY AGNES MANOR
Location Address307 PORTER AVEBuffalo, NY 14201-1031
Mailing Address307 Porter AveBuffalo, NY 14201-1031
Organization SubpartNo
Authorized OfficialDanny ZyskindAssistant Administrator · (716) 791-4211
Enumeration DateSeptember 29, 2014
NPI 1487057972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License Licensed in NY · 1753L001
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
307 PORTER AVE, Buffalo, NY 14201

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health Aide
307 PORTER AVE
BUFFALO, NY 14201

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 Mary Agnes Manor's NPI number?

The NPI number for Mary Agnes Manor is 1487057972. It was assigned to this organization in the NPPES registry on September 29, 2014.

Where is Mary Agnes Manor located?

Mary Agnes Manor is located at 307 Porter Ave, Buffalo, NY 14201. The listed phone number is (716) 881-0565.

What is Mary Agnes Manor's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Mary Agnes Manor was last updated on September 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.