OrganizationActive
Mother Theresa Residence
NPI 1780705384 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Amityville, NY
Provider details
- NPI number
- 1780705384
- 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
- 6186451 (NY)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 6186451 (NY)
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
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
339 County Line Rd
Amityville, NY 11701-2920
Phone: (631) 665-3434
Street-level locationGet directions
Mailing address
339 County Line Rd
Amityville, NY 11701-2920
Registry dates
- Enumerated
- 2007-04-02
- Last updated
- 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.