OrganizationActive
Developmental Disabilities Institute
NPI 1114331857 · Intellectual Disabilities Intermediate Care Facility · Huntington, NY
Provider details
- NPI number
- 1114331857
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Sophia Samuel, Cfo(631) 366-2960
- License
- 6917319 (NY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
25 Little Plains Rd
Huntington, NY 11743-4550
Phone: (631) 366-2969
Approximate (ZIP-level) locationGet directions
Mailing address
99 Hollywood Dr
Smithtown, NY 11787-3135
Registry dates
- Enumerated
- 2014-06-19
- Last updated
- 2014-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.