OrganizationActive
Brookville Center for Childrens Services Inc
NPI 1053558940 · Mental Illness Intermediate Care Facility · Glen Cove, NY
Provider details
- NPI number
- 1053558940
- Entity type
- Organization
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Willard Derr, Chief Financial Officer(516) 626-1075
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 Red Spring Ln
Glen Cove, NY 11542-1754
Phone: (516) 626-1075
Fax: (516) 626-3308
Street-level locationGet directions
Mailing address
189 Wheatley Rd
Glen Head, NY 11545-2641
Registry dates
- Enumerated
- 2009-01-14
- Last updated
- 2009-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.