Mako Residence
NPI 1164540522 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Southold, NY
Mako Residence is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Southold, NY (NPI 1164540522).
Provider details
- NPI number
- 1164540522
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Edwin Kennedy, Cfo(516) 733-7000
- License
- 6186446 (NY)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 6186446 (NY)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-03-26
- Last updated
- 2020-08-22
Frequently asked questions
- What is Mako Residence's NPI number?
- Mako Residence's National Provider Identifier (NPI) is 1164540522, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mako Residence?
- Mako Residence is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Mako Residence located?
- Mako Residence's practice location on file with NPPES is 380 Eds Rd, Southold, NY 11971-3716.
- What is Mako Residence's phone number?
- The practice phone number listed in the NPPES registry for Mako Residence is (631) 665-3434.
- Who is the authorized official for Mako Residence?
- The authorized official listed on Mako Residence's NPPES record is Edwin Kennedy, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mako Residence's NPI active?
- Yes — Mako Residence's NPI (1164540522) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.