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MOTHER THERESA RESIDENCE
NPI 1780705384
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Amityville, NY

Active since April 02, 2007
339 COUNTY LINE RD, AMITYVILLE, NY 11701(631) 665-3434 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mother Theresa Residence NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOTHER THERESA RESIDENCE (NPI 1780705384) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Amityville, New York and active in the NPI registry since April 2007. The organization lists Edwin M Kennedy, Cfo, as its authorized official.

NPPES Registry Identity

NPI1780705384
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameMOTHER THERESA RESIDENCE
Location Address339 COUNTY LINE RDAmityville, NY 11701-2920
Mailing Address339 County Line RdAmityville, NY 11701-2920 · (631) 665-3434
Phone(631) 665-3434
Organization SubpartNo
Authorized OfficialEdwin M KennedyCfo · (516) 733-7000
Enumeration DateApril 2, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1780705384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in NY · 6186451
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
339 COUNTY LINE RD, Amityville, NY 11701
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Other Identifiers 1

Medicaid02245930NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mother Theresa Residence's NPI number?

The NPI number for Mother Theresa Residence is 1780705384. It was assigned to this organization in the NPPES registry on April 2, 2007.

Where is Mother Theresa Residence located?

Mother Theresa Residence is located at 339 County Line Rd, Amityville, NY 11701. The listed phone number is (631) 665-3434.

What is Mother Theresa Residence's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Mother Theresa Residence was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.