OrganizationActive
Developmental Disabilities Institute
NPI 1780859561 · Intellectual Disabilities Intermediate Care Facility · Melville, NY
Provider details
- NPI number
- 1780859561
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Sophia Samuel, Cfo(631) 366-2960
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
197 Old South Path
Melville, NY 11747-2808
Phone: (631) 366-5876
Fax: (631) 366-5893
Street-level locationGet directions
Mailing address
99 Hollywood Dr
Smithtown, NY 11787-3135
Registry dates
- Enumerated
- 2008-04-23
- Last updated
- 2015-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.