OrganizationActive
Self Initiated Living Options Inc
NPI 1215501424 · Community/Behavioral Health Agency · Medford, NY
Self Initiated Living Options Inc is a Community/Behavioral Health Agency organization in Medford, NY (NPI 1215501424).
Provider details
- NPI number
- 1215501424
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Joseph Delgado, Chief Executive Officer(631) 880-7929
Specialties & taxonomies
Agencies
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
3253 Route 112 Bldg 10
Medford, NY 11763-1411
Phone: (631) 880-7929
Fax: (631) 946-6377
Approximate (ZIP-level) locationGet directions
Mailing address
3253 Route 112 Bldg 10
Medford, NY 11763-1411
Registry dates
- Enumerated
- 2021-05-13
- Last updated
- 2021-08-24
- Certified
- 2021-08-10
Frequently asked questions
- What is Self Initiated Living Options Inc's NPI number?
- Self Initiated Living Options Inc's National Provider Identifier (NPI) is 1215501424, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Self Initiated Living Options Inc?
- Self Initiated Living Options Inc is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Self Initiated Living Options Inc located?
- Self Initiated Living Options Inc's practice location on file with NPPES is 3253 Route 112 Bldg 10, Medford, NY 11763-1411.
- What is Self Initiated Living Options Inc's phone number?
- The practice phone number listed in the NPPES registry for Self Initiated Living Options Inc is (631) 880-7929.
- Who is the authorized official for Self Initiated Living Options Inc?
- The authorized official listed on Self Initiated Living Options Inc's NPPES record is Joseph Delgado, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Self Initiated Living Options Inc's NPI active?
- Yes — Self Initiated Living Options Inc's NPI (1215501424) is active in the NPPES registry as of the last update on 2021-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.