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 one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with 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 NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1790344901, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790344901, enumerated 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.
Psychologist with taxonomy code 103TM1800X and a focus in Intellectual and Developmental Disabilities.
