DEVELOPMENTAL DISABILITIES INSTITUTE (NPI# 1780859561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780859561 |
| Entity Type | Organization |
| Organization Name | DEVELOPMENTAL DISABILITIES INSTITUTE |
| Practice Address |
197 Old South Path Melville NY 11747-2808 |
| Mailing Address |
99 Hollywood Dr Smithtown NY 11787-3135 |
| Practice Telephone | 6313665876 |
| Practice Fax Number | 6313665893 |
| Mailing Telephone | 6313665876 |
| Mailing Fax Number | 6313665893 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2015-08-20 |
| Authorized Official Name | SOPHIA SAMUEL (CFO) |
| Authorized Official Telephone | 6313662960 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215207162 | Developmental Disabilities Institute | Case Management | 90 Airpark Dr., Ronkonkoma, NY 11779-7360 | 2012-01-10 |
| 1700051331 | Developmental Disabilities Institute | Intermediate Care Facility, Mentally Retarded | 18 Alvord Ct, Greenlawn, NY 11740-1005 | 2008-04-24 |
| 1063687762 | Developmental Disabilities Institute | Intermediate Care Facility, Mentally Retarded | 699 Mt Sinai Rd, Mount Sinai, NY 11766 | 2008-04-24 |
| 1578978284 | Developmental Disabilities Institute | Intermediate Care Facility, Mentally Retarded | 25 Little Plains Rd, Huntington, NY 11743-4550 | 2014-06-23 |
| 1740695451 | Developmental Disabilities Institute | Intermediate Care Facility, Mentally Retarded | 25 Little Plains Rd, Huntington, NY 11743-4550 | 2014-06-23 |
| 1659786366 | Developmental Disabilities Institute | Intermediate Care Facility, Mentally Retarded | 25 Little Plains Rd, Huntington, NY 11743-4550 | 2014-06-23 |
| 1114331857 | Developmental Disabilities Institute | Intermediate Care Facility, Mentally Retarded | 25 Little Plains Rd, Huntington, NY 11743-4550 | 2014-06-19 |
| 1487820460 | Developmental Disabilities Institute | Intermediate Care Facility, Mentally Retarded | 99 Hollywood Dr, Smithtown, NY 11787-3135 | 2008-04-30 |
| 1598930828 | Developmental Disabilities Institute | Intermediate Care Facility, Mentally Retarded | 99 Hollywood Dr, Smithtown, NY 11787-3135 | 2008-04-28 |
| 1396910626 | Developmental Disabilities Institute | Clinic/Center | 75 Landing Meadow Rd, Smithtown, NY 11787-1124 | 2008-04-28 |
| Street Address |
197 OLD SOUTH PATH |
| City | MELVILLE |
| State | NY |
| Zip Code | 11747-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316139 | Shaina Flanzraich | Physical Therapist | 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 | 2020-04-28 |
| 1952943763 | Liana Danielle Maher | Behavior Technician | 225 Broadhallow Road Suite 402, Melville, NY 11747 | 2019-10-14 |
| 1114402096 | Anicka Inez Douglas | Behavior Technician | 225 Broadhollow Road Suite 402, Melville, NY 11747 | 2018-09-26 |
| 1962988717 | Brien Nina-louise Potter | Behavior Technician | 225 Broadhollow Road, Suite 402, Melville, NY 11747 | 2018-07-16 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1386178127 | Marissa Zydor | Specialist | 538 Ny-110 #202, Melville, NY 11747 | 2017-04-19 |
| 1992236624 | Annmarie Irene Russo | Behavior Technician | 538 Ny-110, Suite 202, Melville, NY 11747 | 2017-03-24 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| Find all providers in zip 11747 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1063866465 | Catholic Guardian Services | Intermediate Care Facility, Mentally Retarded | 909 Melville Estates Ct, Melville, NY 11747-2827 | 2016-04-21 |
| 1285098251 | Catholic Guardian Services | Intermediate Care Facility, Mentally Retarded | 902 Melville Estates Ct, Melville, NY 11747-2827 | 2016-04-06 |
| 1871955195 | Young Adult Institute Inc. | Intermediate Care Facility, Mentally Retarded | 912 Melville Estates Ct, Melville, NY 11747-2827 | 2016-03-25 |
| 1689714453 | State of New York | Intermediate Care Facility, Mentally Retarded | Rainbow Commons, Melville, NY 11747 | 2007-02-08 |
| 1124168075 | State of New York | Intermediate Care Facility, Mentally Retarded | Melville Estates St, Melville, NY 11747 | 2007-02-08 |
| 1366582462 | State of New York | Intermediate Care Facility, Mentally Retarded | Melville Estates, Melville, NY 11747 | 2007-02-07 |
| 1942342100 | State of New York | Intermediate Care Facility, Mentally Retarded | Rainbow Commons, Melville, NY 11747 | 2007-02-13 |
| 1033259981 | State of New York | Intermediate Care Facility, Mentally Retarded | Melville Estates St, Melville, NY 11747 | 2007-02-08 |
| 1487794137 | State of New York | Intermediate Care Facility, Mentally Retarded | Rainbow Commons, Melville, NY 11747 | 2007-02-08 |
| Find all providers in MELVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.